14D2033326 CLIA NUMBER - SPRINGFIELD SOUTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2033326
  • Facility Name: SPRINGFIELD SOUTH DIALYSIS
  • Facility Address: 2930 S 6TH ST
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: (217) 528-1745
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LAWRENCE J. SMITH
  • NPI Number: 1033397138
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D2033326
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPRINGFIELD SOUTH DIALYSIS
Street 2930 S 6TH ST
City SPRINGFIELD
State IL
ZIP 62703
Phone 2175281745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2025
Certificate Expiration Date 11/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LAWRENCE J. SMITH

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