14D0721806 CLIA NUMBER - TIBOR C KOPJAS MD

Laboratory Demographics

  • CLIA Code: 14D0721806
  • Facility Name: TIBOR C KOPJAS MD
  • Facility Address: 6812 STATE ROUTE 162 - STE 209
    MARYVILLE, IL
    ZIP 62062
  • Facility Phone: 618 391-5061
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIBOR C. KOPJAS
  • NPI Number: 1952332918
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0721806
LAB Type Physician Office
Facility Name TIBOR C KOPJAS MD
Street 6812 STATE ROUTE 162 - STE 209
City MARYVILLE
State IL
ZIP 62062
Phone 618 391-5061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TIBOR C. KOPJAS

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