14D0429720 CLIA NUMBER - MIDWEST MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D0429720

Facility Name: MIDWEST MEDICAL CENTER

Facility Address:
ONE MEDICAL CENTER DRIVE
GALENA, IL
ZIP 61036
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Facility Phone Number: 815 777-6426

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1154619625

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0429720
LAB Type	Hospital
Facility Name	MIDWEST MEDICAL CENTER
Street	ONE MEDICAL CENTER DRIVE
City	GALENA
State	IL
ZIP	61036
Phone	815 777-6426
CertificateType	1
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024