14D0433641 CLIA NUMBER - THOMAS H BOYD MEMORIAL HOSPITAL D/B/A BOYD FILLAGER CLINIC

Laboratory Demographics

  • CLIA Code: 14D0433641
  • Facility Name: THOMAS H BOYD MEMORIAL HOSPITAL D/B/A BOYD FILLAGER CLINIC
  • Facility Address: 712 S COLLEGE
    GREENFIELD, IL
    ZIP 62044
  • Facility Phone: 217 368-3051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENAN R. MAPUE
  • NPI Number: 1912090960
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0433641
LAB Type Physician Office
Facility Name THOMAS H BOYD MEMORIAL HOSPITAL D/B/A BOYD FILLAGER CLINIC
Street 712 S COLLEGE
City GREENFIELD
State IL
ZIP 62044
Phone 217 368-3051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RENAN R. MAPUE

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