14D2316017 CLIA NUMBER - ALEXANDER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 14D2316017
  • Facility Name: ALEXANDER FAMILY PRACTICE
  • Facility Address: 1009 W MAIN ST
    MARION, IL
    ZIP 62959
  • Facility Phone: 618 992-3272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES O. ALEXANDER
  • NPI Number: 1265251334
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2316017
LAB Type Physician Office
Facility Name ALEXANDER FAMILY PRACTICE
Street 1009 W MAIN ST
City MARION
State IL
ZIP 62959
Phone 618 992-3272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Physician Office
Lab Director JAMES O. ALEXANDER

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