14D1002372 CLIA NUMBER - QUINCY OPC

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CLIA Record

Field Name Field Value
CLIA Number 14D1002372
LAB Type Community Clinic
Facility Name QUINCY OPC
Street 1707 NORTH 12TH ST
City QUINCY
State IL
ZIP 62301
Phone 217 224-3366
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 8/6/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director GRANT BULLOCK

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