26D2176504 CLIA NUMBER - HAYTI MEDICAL AND DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 26D2176504
  • Facility Name: HAYTI MEDICAL AND DIAGNOSTIC
  • Facility Address: 223 S 3RD ST
    HAYTI, MO
    ZIP 63851
  • Facility Phone: 573 479-3075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABDULLAH ARSHAD
  • NPI Number: 1154303204
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2176504
LAB Type Physician Office
Facility Name HAYTI MEDICAL AND DIAGNOSTIC
Street 223 S 3RD ST
City HAYTI
State MO
ZIP 63851
Phone 573 479-3075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director ABDULLAH ARSHAD

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This page was last updated on: 6/4/2025