14D0665368 CLIA NUMBER - SPRINGFIELD CLINIC TAYLORVILLE

Laboratory Demographics

  • CLIA Code: 14D0665368
  • Facility Name: SPRINGFIELD CLINIC TAYLORVILLE
  • Facility Address: 600 N MAIN ST
    TAYLORVILLE, IL
    ZIP 62568
  • Facility Phone: 217 528-7541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA FUCHS
  • NPI Number: 1427216381
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0665368
LAB Type Physician Office
Facility Name SPRINGFIELD CLINIC TAYLORVILLE
Street 600 N MAIN ST
City TAYLORVILLE
State IL
ZIP 62568
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 8/25/2023
Certificate Expiration Date 8/24/2025
Facility Type Physician Office
Lab Director THERESA FUCHS

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: 3/20/2025