14D0435808 CLIA NUMBER - SPRINGFIELD CLINIC

Laboratory Demographics

  • CLIA Code: 14D0435808
  • Facility Name: SPRINGFIELD CLINIC
  • Facility Address: 1351 S EIGHTH ST
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: 217 528-7541
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN Z. GAO
  • NPI Number: 1265702799
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0435808
LAB Type Independent
Facility Name SPRINGFIELD CLINIC
Street 1351 S EIGHTH ST
City SPRINGFIELD
State IL
ZIP 62703
Phone 217 528-7541
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Independent
Lab Director DR. JOHN Z. GAO

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