14D1013824 CLIA NUMBER - QUINCY MEDICAL GROUP CANCER INSTITUTE QUINCY PHYSICIANS & SURGEONS CLINIC, S C

Laboratory Demographics

  • CLIA Code: 14D1013824
  • Facility Name: QUINCY MEDICAL GROUP CANCER INSTITUTE QUINCY PHYSICIANS & SURGEONS CLINIC, S C
  • Facility Address: 3301 BROADWAY
    QUINCY, IL
    ZIP 62301
  • Facility Phone: 217 222-6550
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. RICHARD R. ANDERSON
  • NPI Number: 1790158087
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D1013824
LAB Type Independent
Facility Name QUINCY MEDICAL GROUP CANCER INSTITUTE QUINCY PHYSICIANS & SURGEONS CLINIC, S C
Street 3301 BROADWAY
City QUINCY
State IL
ZIP 62301
Phone 217 222-6550
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 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Independent
Lab Director DR. RICHARD R. ANDERSON

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