14D2298247 CLIA NUMBER - TWILIGHT MED, PLLC

Laboratory Demographics

  • CLIA Code: 14D2298247
  • Facility Name: TWILIGHT MED, PLLC
  • Facility Address: 2975 N WATER ST
    DECATUR, IL
    ZIP 62526
  • Facility Phone: 217 855-4969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELANIE A. PHILLIPS
  • NPI Number: 1275310252
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2298247
LAB Type Physician Office
Facility Name TWILIGHT MED, PLLC
Street 2975 N WATER ST
City DECATUR
State IL
ZIP 62526
Phone 217 855-4969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director MELANIE A. PHILLIPS

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