14D0044738 CLIA NUMBER - QUINCY MEDICAL GROUP LABORATORY

Laboratory Demographics

  • CLIA Code: 14D0044738
  • Facility Name: QUINCY MEDICAL GROUP LABORATORY
  • Facility Address: 1101 MAINE ST - 3RD FL - SUPPORT SERVICES BLDG
    QUINCY, IL
    ZIP 62301
  • Facility Phone: 217 222-6550
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RICHARD R. ANDERSON
  • NPI Number: 1356315899
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0044738
LAB Type Physician Office
Facility Name QUINCY MEDICAL GROUP LABORATORY
Street 1101 MAINE ST - 3RD FL - SUPPORT SERVICES BLDG
City QUINCY
State IL
ZIP 62301
Phone 217 222-6550
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DR. RICHARD R. ANDERSON

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