14D2298198 CLIA NUMBER - SPRINGFIELD CLINIC MAIN CAMPUS COLLECTIONS

Laboratory Demographics

  • CLIA Code: 14D2298198
  • Facility Name: SPRINGFIELD CLINIC MAIN CAMPUS COLLECTIONS
  • Facility Address: 1025 S 6TH ST
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: 217 582-7541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIANNE L. BALLARD
  • NPI Number: 1376609883
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2298198
LAB Type Physician Office
Facility Name SPRINGFIELD CLINIC MAIN CAMPUS COLLECTIONS
Street 1025 S 6TH ST
City SPRINGFIELD
State IL
ZIP 62703
Phone 217 582-7541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director BRIANNE L. BALLARD

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