26D2295822 CLIA NUMBER - BLESSING CANCER CENTER HANNIBAL

Laboratory Demographics

  • CLIA Code: 26D2295822
  • Facility Name: BLESSING CANCER CENTER HANNIBAL
  • Facility Address: 100 MEDICAL DR SUITE 1A
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 573 231-3804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED I. MEMON
  • NPI Number: 1013696426
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2295822
LAB Type Physician Office
Facility Name BLESSING CANCER CENTER HANNIBAL
Street 100 MEDICAL DR SUITE 1A
City HANNIBAL
State MO
ZIP 63401
Phone 573 231-3804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director MOHAMMED I. MEMON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025