14D0993472 CLIA NUMBER - SSM HEALTH MONROE CLINIC - DURAND BRANCH CLINIC

Laboratory Demographics

  • CLIA Code: 14D0993472
  • Facility Name: SSM HEALTH MONROE CLINIC - DURAND BRANCH CLINIC
  • Facility Address: 400 S CENTER ST
    DURAND, IL
    ZIP 61024
  • Facility Phone: 815 248-3443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY LECLAIR
  • NPI Number: 1215092358
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0993472
LAB Type Physician Office
Facility Name SSM HEALTH MONROE CLINIC - DURAND BRANCH CLINIC
Street 400 S CENTER ST
City DURAND
State IL
ZIP 61024
Phone 815 248-3443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director AMY LECLAIR

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