14D0998867 CLIA NUMBER - SPRINGFIELD CBOC

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CLIA Record

Field Name Field Value
CLIA Number 14D0998867
LAB Type Community Clinic
Facility Name SPRINGFIELD CBOC
Street 5850 S SIXTH STREET
City SPRINGFIELD
State IL
ZIP 62702
Phone 217 554-7405
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 4/26/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DOROTHY KURYLO

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