14D2276479 CLIA NUMBER - MOLECULAR LAB ASSOCIATES ILLINOIS, LLC

Laboratory Demographics

  • CLIA Code: 14D2276479
  • Facility Name: MOLECULAR LAB ASSOCIATES ILLINOIS, LLC
  • Facility Address: 2908 GREENBRIAR RD
    SPRINGFIELD, IL
    ZIP 62704
  • Facility Phone: 513 241-4223
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. VENUS DOOKWAH ROBERTS
  • NPI Number: 1841999430
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2276479
LAB Type Independent
Facility Name MOLECULAR LAB ASSOCIATES ILLINOIS, LLC
Street 2908 GREENBRIAR RD
City SPRINGFIELD
State IL
ZIP 62704
Phone 513 241-4223
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Independent
Lab Director DR. VENUS DOOKWAH ROBERTS

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