14D2116258 CLIA NUMBER - SPRINGBOARD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D2116258
  • Facility Name: SPRINGBOARD PEDIATRICS
  • Facility Address: 2888 N MONROE ST
    DECATUR, IL
    ZIP 62526
  • Facility Phone: 217 876-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN OKPALIKE MD
  • NPI Number: 1982052585
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2116258
LAB Type Physician Office
Facility Name SPRINGBOARD PEDIATRICS
Street 2888 N MONROE ST
City DECATUR
State IL
ZIP 62526
Phone 217 876-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director MARTIN OKPALIKE MD

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