14D0434939 CLIA NUMBER - SPRINGFIELD CLINIC RUNDE

Laboratory Demographics

  • CLIA Code: 14D0434939
  • Facility Name: SPRINGFIELD CLINIC RUNDE
  • Facility Address: 206 N PEARL ST
    TEUTOPOLIS, IL
    ZIP 62467
  • Facility Phone: 217 528-7541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC A. BLOEMER
  • NPI Number: 1477742831
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0434939
LAB Type Physician Office
Facility Name SPRINGFIELD CLINIC RUNDE
Street 206 N PEARL ST
City TEUTOPOLIS
State IL
ZIP 62467
Phone 217 528-7541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director ERIC A. BLOEMER

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