14D1014582 CLIA NUMBER - CORK MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D1014582
  • Facility Name: CORK MEDICAL CENTER
  • Facility Address: 408 N 2ND ST
    MARSHALL, IL
    ZIP 62441
  • Facility Phone: 217 826-2361
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMY JAMES MD
  • NPI Number: 1952335192
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1014582
LAB Type Physician Office
Facility Name CORK MEDICAL CENTER
Street 408 N 2ND ST
City MARSHALL
State IL
ZIP 62441
Phone 217 826-2361
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director AMY JAMES MD

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