14D1056234 CLIA NUMBER - ILLINOIS PHARMACISTS ASSOCIATION

Laboratory Demographics

  • CLIA Code: 14D1056234
  • Facility Name: ILLINOIS PHARMACISTS ASSOCIATION
  • Facility Address: 204 W COOK STREET
    SPRINGFIELD, IL
    ZIP 62704
  • Facility Phone: 217 522-7300
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: STARLIN HAYDON-GREATTING
  • NPI Number: 1124152699
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D1056234
LAB Type Health Fair
Facility Name ILLINOIS PHARMACISTS ASSOCIATION
Street 204 W COOK STREET
City SPRINGFIELD
State IL
ZIP 62704
Phone 217 522-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Health Fair
Lab Director STARLIN HAYDON-GREATTING

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