14D1073254 CLIA NUMBER - LAWRENCE COUNTY MEM HOSP PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 14D1073254
  • Facility Name: LAWRENCE COUNTY MEM HOSP PRIMARY CARE CLINIC
  • Facility Address: 2111 LEXINGTON AVE, STE 1 & STE 4
    LAWRENCEVILLE, IL
    ZIP 62439
  • Facility Phone: (618) 943-7216
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: STEVEN RAMSARAN M D
  • NPI Number: 1760791792
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1073254
LAB Type Rural Health Clinic
Facility Name LAWRENCE COUNTY MEM HOSP PRIMARY CARE CLINIC
Street 2111 LEXINGTON AVE, STE 1 & STE 4
City LAWRENCEVILLE
State IL
ZIP 62439
Phone 6189437216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Rural Health Clinic
Lab Director STEVEN RAMSARAN M D

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: 5/18/2026