14D2074735 CLIA NUMBER - SOUTHERN ILLINOIS G I SPECIALISTS L L C

Laboratory Demographics

  • CLIA Code: 14D2074735
  • Facility Name: SOUTHERN ILLINOIS G I SPECIALISTS L L C
  • Facility Address: 1100 WEST DIANN LANE
    CARBONDALE, IL
    ZIP 62901
  • Facility Phone: 618 549-8006
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ATIF A. RAJA
  • NPI Number: 1093775405
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2074735
LAB Type Physician Office
Facility Name SOUTHERN ILLINOIS G I SPECIALISTS L L C
Street 1100 WEST DIANN LANE
City CARBONDALE
State IL
ZIP 62901
Phone 618 549-8006
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director DR. ATIF A. RAJA

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: 9/29/2025