14D0432270 CLIA NUMBER - CENTRAL ILLINOIS PEDIATRICS ASSOC

Laboratory Demographics

  • CLIA Code: 14D0432270
  • Facility Name: CENTRAL ILLINOIS PEDIATRICS ASSOC
  • Facility Address: 2427 MALONEY DRIVE
    BLOOMINGTON, IL
    ZIP 61704
  • Facility Phone: 309 663-1011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY SAXENA MD
  • NPI Number: 1174706816
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0432270
LAB Type Physician Office
Facility Name CENTRAL ILLINOIS PEDIATRICS ASSOC
Street 2427 MALONEY DRIVE
City BLOOMINGTON
State IL
ZIP 61704
Phone 309 663-1011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director SANJAY SAXENA MD

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