14D2017020 CLIA NUMBER - ALLERGY & ASTHMA CASE LTD

Laboratory Demographics

  • CLIA Code: 14D2017020
  • Facility Name: ALLERGY & ASTHMA CASE LTD
  • Facility Address: 4 COUTRY CLUB EXECUTIVE PARK
    GLEN CARBON, IL
    ZIP 62034
  • Facility Phone: 618 288-6673
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY F. ZEFFREN
  • NPI Number: 1982824736
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 14D2017020
LAB Type Physician Office
Facility Name ALLERGY & ASTHMA CASE LTD
Street 4 COUTRY CLUB EXECUTIVE PARK
City GLEN CARBON
State IL
ZIP 62034
Phone 618 288-6673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director BARRY F. ZEFFREN

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