14D0976026 CLIA NUMBER - MICHAEL W ELLIOTT II MD

Laboratory Demographics

  • CLIA Code: 14D0976026
  • Facility Name: MICHAEL W ELLIOTT II MD
  • Facility Address: 807 W CRAFT STREET
    ROBINSON, IL
    ZIP 62454
  • Facility Phone: 618 546-5052
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL W. ELLIOTT
  • NPI Number: 1548267693
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0976026
LAB Type Physician Office
Facility Name MICHAEL W ELLIOTT II MD
Street 807 W CRAFT STREET
City ROBINSON
State IL
ZIP 62454
Phone 618 546-5052
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MICHAEL W. ELLIOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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