14D2319985 CLIA NUMBER - ANDES HEALTH MART

Laboratory Demographics

  • CLIA Code: 14D2319985
  • Facility Name: ANDES HEALTH MART
  • Facility Address: 805 W FAYETTE AVE
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 342-9393
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL MCVAY ANDES
  • NPI Number: 1932609278
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2319985
LAB Type Pharmacy
Facility Name ANDES HEALTH MART
Street 805 W FAYETTE AVE
City EFFINGHAM
State IL
ZIP 62401
Phone 217 342-9393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director MICHAEL MCVAY ANDES

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