14D2011705 CLIA NUMBER - AHS IL MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 14D2011705
  • Facility Name: AHS IL MEDICAL GROUP LLC
  • Facility Address: 101 UNITED DR - STE 140
    COLLINSVILLE, IL
    ZIP 62234
  • Facility Phone: (618) 344-0248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA L. KALAHER

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CLIA Record

Field Name Field Value
CLIA Number 14D2011705
LAB Type Physician Office
Facility Name AHS IL MEDICAL GROUP LLC
Street 101 UNITED DR - STE 140
City COLLINSVILLE
State IL
ZIP 62234
Phone 6183440248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director MELISSA L. KALAHER

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This page was last updated on: 5/18/2026