14D0429596 CLIA NUMBER - OSF HEALTHCARE SKMC - CENTER FOR HEALTH

Laboratory Demographics

  • CLIA Code: 14D0429596
  • Facility Name: OSF HEALTHCARE SKMC - CENTER FOR HEALTH
  • Facility Address: 144 N COURT ST
    DIXON, IL
    ZIP 61021
  • Facility Phone: 815 285-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA RIVERA
  • NPI Number: 1720808199
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0429596
LAB Type Physician Office
Facility Name OSF HEALTHCARE SKMC - CENTER FOR HEALTH
Street 144 N COURT ST
City DIXON
State IL
ZIP 61021
Phone 815 285-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director MARIA RIVERA

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