14D2117221 CLIA NUMBER - QUINCY MEDICAL GROUP-DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2117221
  • Facility Name: QUINCY MEDICAL GROUP-DERMATOLOGY
  • Facility Address: 1025 MAINE ST
    QUINCY, IL
    ZIP 62301
  • Facility Phone: 217 222-6550
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SUMUL A. GANDHI
  • NPI Number: 1861466112
  • Taxonomy: 251F00000X - Home Infusion

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2117221
LAB Type Physician Office
Facility Name QUINCY MEDICAL GROUP-DERMATOLOGY
Street 1025 MAINE ST
City QUINCY
State IL
ZIP 62301
Phone 217 222-6550
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director SUMUL A. GANDHI

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