LIGHTHOUSE DIAGNOSTIC TESTING
NPI 1407770670
Clinical Medical Laboratory in Springfield, IL

Active since August 08, 2026CLIA 14D2349081 · Waiver
1760 WABASH AVE, SPRINGFIELD, IL 62791(217) 720-7449 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lighthouse Diagnostic Testing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE DIAGNOSTIC TESTING (NPI 1407770670) is a healthcare organization registered as a clinical medical laboratory in Springfield, Illinois and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Nate' Russell, Manager, as its authorized official.

NPPES Registry Identity

NPI1407770670
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLIGHTHOUSE DIAGNOSTIC TESTING
Location Address1760 WABASH AVESpringfield, IL 62791-0836
Mailing Address1760 Wabash AveSpringfield, IL 62791-0836 · (217) 720-7449
Organization SubpartNo
Authorized OfficialNate' RussellManager · (217) 720-7449
Enumeration DateAugust 8, 2026
NPPES CertifiedAugust 8, 2026
✔ NPI 1407770670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1760 WABASH AVE, Springfield, IL 62791

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2349081

Lighthouse Diagnostic Testing · Springfield, IL
Active · expires Aug 16, 2028
CLIA Number14D2349081
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorNate Russell
Laboratory Phone(217) 720-7449
Laboratory LocationLighthouse Diagnostic Testing1760 W Wabash Ave, Springfield, IL 62791
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Diagnostic Testing's NPI number?

The NPI number for Lighthouse Diagnostic Testing is 1407770670. It was assigned to this organization in the NPPES registry on August 8, 2026.

Where is Lighthouse Diagnostic Testing located?

Lighthouse Diagnostic Testing is located at 1760 Wabash Ave, Springfield, IL 62791. The listed phone number is (217) 720-7449.

What is Lighthouse Diagnostic Testing's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Lighthouse Diagnostic Testing hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2349081) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lighthouse Diagnostic Testing was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.