14D0986082 CLIA NUMBER - MASTER MEDICAL CARE LLC

Laboratory Demographics

  • CLIA Code: 14D0986082
  • Facility Name: MASTER MEDICAL CARE LLC
  • Facility Address: 10 EMERALD TERRACE
    SWANSEA, IL
    ZIP 62226
  • Facility Phone: 618 235-6780
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KHAJA G. MOHSIN, MD
  • NPI Number: 1184679466
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0986082
LAB Type Physician Office
Facility Name MASTER MEDICAL CARE LLC
Street 10 EMERALD TERRACE
City SWANSEA
State IL
ZIP 62226
Phone 618 235-6780
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 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director KHAJA G. MOHSIN, MD

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