14D0981168 CLIA NUMBER - COMMUNITY MEDICAL CLINIC OF ASSUMPTION

Laboratory Demographics

  • CLIA Code: 14D0981168
  • Facility Name: COMMUNITY MEDICAL CLINIC OF ASSUMPTION
  • Facility Address: 118 NORTH WALNUT STREET
    ASSUMPTION, IL
    ZIP 62510
  • Facility Phone: 217 226-3133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER H. CUNNINGTON MD
  • NPI Number: 1396106910
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0981168
LAB Type Physician Office
Facility Name COMMUNITY MEDICAL CLINIC OF ASSUMPTION
Street 118 NORTH WALNUT STREET
City ASSUMPTION
State IL
ZIP 62510
Phone 217 226-3133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director WALTER H. CUNNINGTON MD

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