14D0682978 CLIA NUMBER - MEDICAL ARTS S C

Laboratory Demographics

  • CLIA Code: 14D0682978
  • Facility Name: MEDICAL ARTS S C
  • Facility Address: 13 N WALNUT ST
    PINCKNEYVILLE, IL
    ZIP 62274
  • Facility Phone: 618 357-2147
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBERT J. DAVIDSON
  • NPI Number: 1063591261
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0682978
LAB Type Physician Office
Facility Name MEDICAL ARTS S C
Street 13 N WALNUT ST
City PINCKNEYVILLE
State IL
ZIP 62274
Phone 618 357-2147
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. ROBERT J. DAVIDSON

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