14D2107698 CLIA NUMBER - MEDICAL SERVICES UNLIMITED

Laboratory Demographics

  • CLIA Code: 14D2107698
  • Facility Name: MEDICAL SERVICES UNLIMITED
  • Facility Address: 1404 NORTH 5TH ST
    VANDALIA, IL
    ZIP 62471
  • Facility Phone: 618 971-1440
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PENNY D. ATTAWAY
  • NPI Number: 1528185170
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2107698
LAB Type Rural Health Clinic
Facility Name MEDICAL SERVICES UNLIMITED
Street 1404 NORTH 5TH ST
City VANDALIA
State IL
ZIP 62471
Phone 618 971-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Rural Health Clinic
Lab Director PENNY D. ATTAWAY

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