14D0968767 CLIA NUMBER - CENTRAL COUNTIES HEALTH CENTERS INC

Laboratory Demographics

  • CLIA Code: 14D0968767
  • Facility Name: CENTRAL COUNTIES HEALTH CENTERS INC
  • Facility Address: 2239 E COOK ST
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: (217) 788-2300
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DORA RAMOS M D
  • NPI Number: 1013467646
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0968767
LAB Type Community Clinic
Facility Name CENTRAL COUNTIES HEALTH CENTERS INC
Street 2239 E COOK ST
City SPRINGFIELD
State IL
ZIP 62703
Phone 2177882300
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 12/21/2025
Certificate Expiration Date 12/20/2027
Facility Type Community Clinic
Lab Director DORA RAMOS M D

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This page was last updated on: 6/29/2026