14D0415284 CLIA NUMBER - NM KISHWAUKEE HOSPITAL SYCAMORE LABORATORY

Laboratory Demographics

  • CLIA Code: 14D0415284
  • Facility Name: NM KISHWAUKEE HOSPITAL SYCAMORE LABORATORY
  • Facility Address: 1850 GATEWAY DRIVE
    SYCAMORE, IL
    ZIP 60178
  • Facility Phone: 815 766-9528
  • Facility Type: Other - HOSPITAL ICC LAB
  • Facility Type: Accreditation
  • Lab Director: DR. JEREMIAH B. PLACIDO
  • NPI Number: 1679933139
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0415284
LAB Type Other - HOSPITAL ICC LAB
Facility Name NM KISHWAUKEE HOSPITAL SYCAMORE LABORATORY
Street 1850 GATEWAY DRIVE
City SYCAMORE
State IL
ZIP 60178
Phone 815 766-9528
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Other - HOSPITAL ICC LAB
Lab Director DR. JEREMIAH B. PLACIDO

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