14D1016544 CLIA NUMBER - EDWARD C LUAN MD SC

Laboratory Demographics

  • CLIA Code: 14D1016544
  • Facility Name: EDWARD C LUAN MD SC
  • Facility Address: 7620 N UNIVERSITY-SUITE 2
    PEORIA, IL
    ZIP 61614
  • Facility Phone: 309 692-5600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD C. LUAN MD
  • NPI Number: 1770596124
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D1016544
LAB Type Physician Office
Facility Name EDWARD C LUAN MD SC
Street 7620 N UNIVERSITY-SUITE 2
City PEORIA
State IL
ZIP 61614
Phone 309 692-5600
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 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director EDWARD C. LUAN MD

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