14D2104323 CLIA NUMBER - STH FAMILY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 14D2104323
  • Facility Name: STH FAMILY HEALTHCARE CENTER
  • Facility Address: 1321 W WHITTAKER
    SALEM, IL
    ZIP 62881
  • Facility Phone: 618 548-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE L. JONES
  • NPI Number: 1629433784
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2104323
LAB Type Physician Office
Facility Name STH FAMILY HEALTHCARE CENTER
Street 1321 W WHITTAKER
City SALEM
State IL
ZIP 62881
Phone 618 548-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director STEPHANIE L. JONES

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