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14D0665368 CLIA NUMBER - SPRINGFIELD CLINIC TAYLORVILLE

Laboratory Demographics

CLIA Number: 14D0665368

Facility Name: SPRINGFIELD CLINIC TAYLORVILLE

Facility Address:
600 N MAIN ST
TAYLORVILLE, IL
ZIP 62568
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Facility Phone Number: 217 528-7541

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1427216381

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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
CertificateType 4
CertificateEffectiveDate 8/25/2023
CertificateExpirationDate 8/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024