14D0864167 CLIA NUMBER - SPRINGFIELD CLINIC LINCOLN SPRINGFIELD CLINIC LLP

Laboratory Demographics

  • CLIA Code: 14D0864167
  • Facility Name: SPRINGFIELD CLINIC LINCOLN SPRINGFIELD CLINIC LLP
  • Facility Address: 100 STAHLHUT DR
    LINCOLN, IL
    ZIP 62656
  • Facility Phone: 217 528-7541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH HEIGERT
  • NPI Number: 1518143452
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0864167
LAB Type Physician Office
Facility Name SPRINGFIELD CLINIC LINCOLN SPRINGFIELD CLINIC LLP
Street 100 STAHLHUT DR
City LINCOLN
State IL
ZIP 62656
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 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director JOSEPH HEIGERT

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