14D2175394 CLIA NUMBER - SPRINGFIELD CLINIC EFFINGHAM DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2175394
  • Facility Name: SPRINGFIELD CLINIC EFFINGHAM DERMATOLOGY
  • Facility Address: 801 W TEMPLE AVE
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 582-7541
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LANA D. SCHMIDT M D
  • NPI Number: 1699279976
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2175394
LAB Type Physician Office
Facility Name SPRINGFIELD CLINIC EFFINGHAM DERMATOLOGY
Street 801 W TEMPLE AVE
City EFFINGHAM
State IL
ZIP 62401
Phone 217 582-7541
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director LANA D. SCHMIDT M D

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