14D2037211 CLIA NUMBER - DR SHRESTHA MD SC

Laboratory Demographics

  • CLIA Code: 14D2037211
  • Facility Name: DR SHRESTHA MD SC
  • Facility Address: 1050 M L KING DR STE 111
    CENTRALIA, IL
    ZIP 62801
  • Facility Phone: 618 545-9785
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRANJAN SHRESTHA MD
  • NPI Number: 1699045740
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2037211
LAB Type Physician Office
Facility Name DR SHRESTHA MD SC
Street 1050 M L KING DR STE 111
City CENTRALIA
State IL
ZIP 62801
Phone 618 545-9785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director NIRANJAN SHRESTHA MD

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