14D1070072 CLIA NUMBER - ASBERY AND ASSOCIATES OB / GYN LLC

Laboratory Demographics

  • CLIA Code: 14D1070072
  • Facility Name: ASBERY AND ASSOCIATES OB / GYN LLC
  • Facility Address: #8 CUSUMANO PROFESSIONAL PLAZA
    MOUNT VERNON, IL
    ZIP 62864
  • Facility Phone: 618 241-1747
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID S. ASBERY M D
  • NPI Number: 1033440722
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D1070072
LAB Type Physician Office
Facility Name ASBERY AND ASSOCIATES OB / GYN LLC
Street #8 CUSUMANO PROFESSIONAL PLAZA
City MOUNT VERNON
State IL
ZIP 62864
Phone 618 241-1747
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 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director DAVID S. ASBERY M D

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