14D0904141 CLIA NUMBER - CANCER CARE SPECIALISTS OF CENTRAL IL

Laboratory Demographics

  • CLIA Code: 14D0904141
  • Facility Name: CANCER CARE SPECIALISTS OF CENTRAL IL
  • Facility Address: 905 MEDICAL PARK DRIVE
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 342-2066
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: PERRY GUAGLIANONE
  • NPI Number: 1871580142
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0904141
LAB Type Physician Office
Facility Name CANCER CARE SPECIALISTS OF CENTRAL IL
Street 905 MEDICAL PARK DRIVE
City EFFINGHAM
State IL
ZIP 62401
Phone 217 342-2066
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/8/2023
Certificate Expiration Date 9/7/2025
Facility Type Physician Office
Lab Director PERRY GUAGLIANONE

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This page was last updated on: 6/4/2025