14D0917247 CLIA NUMBER - QMG PLEASANT HILL

Laboratory Demographics

  • CLIA Code: 14D0917247
  • Facility Name: QMG PLEASANT HILL
  • Facility Address: 405 STATE ST
    PLEASANT HILL, IL
    ZIP 62366
  • Facility Phone: 217 734-2545
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KORHAN B. RAIF MD
  • NPI Number: 1467426585
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0917247
LAB Type Rural Health Clinic
Facility Name QMG PLEASANT HILL
Street 405 STATE ST
City PLEASANT HILL
State IL
ZIP 62366
Phone 217 734-2545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Rural Health Clinic
Lab Director KORHAN B. RAIF MD

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