14D2156198 CLIA NUMBER - BLESSING HOSPITAL OUTPATIENT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2156198
  • Facility Name: BLESSING HOSPITAL OUTPATIENT DERMATOLOGY
  • Facility Address: 1132 BROADWAY STREET - STE 200
    QUINCY, IL
    ZIP 62301
  • Facility Phone: 217 214-6250
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ELISE SCOGGIN
  • NPI Number: 1316326697
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2156198
LAB Type Physician Office
Facility Name BLESSING HOSPITAL OUTPATIENT DERMATOLOGY
Street 1132 BROADWAY STREET - STE 200
City QUINCY
State IL
ZIP 62301
Phone 217 214-6250
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 6/12/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ELISE SCOGGIN

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