14D0950256 CLIA NUMBER - SHARON WEAVER MD SC

Laboratory Demographics

  • CLIA Code: 14D0950256
  • Facility Name: SHARON WEAVER MD SC
  • Facility Address: 326 FAIRWAY DR
    BLOOMINGTON, IL
    ZIP 61701
  • Facility Phone: 309 451-9595
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARON R. WEAVER
  • NPI Number: 1215049416
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0950256
LAB Type Physician Office
Facility Name SHARON WEAVER MD SC
Street 326 FAIRWAY DR
City BLOOMINGTON
State IL
ZIP 61701
Phone 309 451-9595
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 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director SHARON R. WEAVER

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