14D0435318 CLIA NUMBER - GLEN A WEISGERBER MD

Laboratory Demographics

  • CLIA Code: 14D0435318
  • Facility Name: GLEN A WEISGERBER MD
  • Facility Address: 100 SOUTH 5TH STREET
    AUBURN, IL
    ZIP 62615
  • Facility Phone: 217 438-6175
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLEN A. WEISGERBER
  • NPI Number: 1760450134
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0435318
LAB Type Physician Office
Facility Name GLEN A WEISGERBER MD
Street 100 SOUTH 5TH STREET
City AUBURN
State IL
ZIP 62615
Phone 217 438-6175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director GLEN A. WEISGERBER

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