14D1005626 CLIA NUMBER - ALTON MULTISPECIALISTS

Laboratory Demographics

  • CLIA Code: 14D1005626
  • Facility Name: ALTON MULTISPECIALISTS
  • Facility Address: 1 PROFESSIONAL DRIVE, SUITE 250
    ALTON, IL
    ZIP 62002
  • Facility Phone: 618 463-8530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARIQ L. QUADRI M D
  • NPI Number: 1659589703
  • Taxonomy: 2471M2300X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 14D1005626
LAB Type Physician Office
Facility Name ALTON MULTISPECIALISTS
Street 1 PROFESSIONAL DRIVE, SUITE 250
City ALTON
State IL
ZIP 62002
Phone 618 463-8530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director TARIQ L. QUADRI M D

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