14D0435571 CLIA NUMBER - QUINCY MEDICAL GROUP WINCHESTER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 14D0435571
  • Facility Name: QUINCY MEDICAL GROUP WINCHESTER FAMILY PRACTICE
  • Facility Address: 215 W CHERRY
    WINCHESTER, IL
    ZIP 62694
  • Facility Phone: 217 742-3117
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: AHMED MAHDY
  • NPI Number: 1114105749
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0435571
LAB Type Rural Health Clinic
Facility Name QUINCY MEDICAL GROUP WINCHESTER FAMILY PRACTICE
Street 215 W CHERRY
City WINCHESTER
State IL
ZIP 62694
Phone 217 742-3117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Rural Health Clinic
Lab Director AHMED MAHDY

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