14D1013306 CLIA NUMBER - EFFINGHAM CBOC

Laboratory Demographics

CLIA Number: 14D1013306

Facility Name: EFFINGHAM CBOC

Facility Address:
1011 FORD AVENUE
EFFINGHAM, IL
ZIP 62401
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Facility Phone Number: 217 347-7600

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1134251853

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D1013306
LAB Type	Community Clinic
Facility Name	EFFINGHAM CBOC
Street	1011 FORD AVENUE
City	EFFINGHAM
State	IL
ZIP	62401
Phone	217 347-7600
CertificateType	1
CertificateEffectiveDate	6/6/2003
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024