14D0982965 CLIA NUMBER - SEMC PATHOLOGY LLC

Laboratory Demographics

  • CLIA Code: 14D0982965
  • Facility Name: SEMC PATHOLOGY LLC
  • Facility Address: 1270 MERCANTILE DRIVE
    HIGHLAND, IL
    ZIP 62249
  • Facility Phone: 618 651-8097
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. STEPHEN GODFREY
  • NPI Number: 1194874966
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D0982965
LAB Type Independent
Facility Name SEMC PATHOLOGY LLC
Street 1270 MERCANTILE DRIVE
City HIGHLAND
State IL
ZIP 62249
Phone 618 651-8097
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Independent
Lab Director DR. STEPHEN GODFREY

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