14D2114334 CLIA NUMBER - HSHS MED GROUP - EFFINGHAM SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 14D2114334
  • Facility Name: HSHS MED GROUP - EFFINGHAM SPECIALTY CARE
  • Facility Address: 900 W TEMPLE - STE 2500
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 321-9276
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT FROST M D
  • NPI Number: 1265904486
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2114334
LAB Type Physician Office
Facility Name HSHS MED GROUP - EFFINGHAM SPECIALTY CARE
Street 900 W TEMPLE - STE 2500
City EFFINGHAM
State IL
ZIP 62401
Phone 217 321-9276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director ROBERT FROST M D

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