14D1054939 CLIA NUMBER - ADVANCED HEALTHCARE SERVICES L L C

Laboratory Demographics

  • CLIA Code: 14D1054939
  • Facility Name: ADVANCED HEALTHCARE SERVICES L L C
  • Facility Address: 3900 PINTAIL DRIVE, SUITE A
    SPRINGFIELD, IL
    ZIP 62711
  • Facility Phone: 217 718-4862
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JUANITA H. JONES
  • NPI Number: 1083192165
  • Taxonomy: 225100000X - Physical Therapist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1054939
LAB Type Home Health Agency
Facility Name ADVANCED HEALTHCARE SERVICES L L C
Street 3900 PINTAIL DRIVE, SUITE A
City SPRINGFIELD
State IL
ZIP 62711
Phone 217 718-4862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Home Health Agency
Lab Director JUANITA H. JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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