14D1030623 CLIA NUMBER - SHOBHA S IYENGAR MD SC

Laboratory Demographics

  • CLIA Code: 14D1030623
  • Facility Name: SHOBHA S IYENGAR MD SC
  • Facility Address: 2186 N STATE ST
    BELVIDERE, IL
    ZIP 61008
  • Facility Phone: 815 547-5007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHOBHA S. IYENGAR, MD
  • NPI Number: 1891724241
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1030623
LAB Type Physician Office
Facility Name SHOBHA S IYENGAR MD SC
Street 2186 N STATE ST
City BELVIDERE
State IL
ZIP 61008
Phone 815 547-5007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director SHOBHA S. IYENGAR, MD

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