14D0429720 CLIA NUMBER - MIDWEST MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D0429720
  • Facility Name: MIDWEST MEDICAL CENTER
  • Facility Address: ONE MEDICAL CENTER DRIVE
    GALENA, IL
    ZIP 61036
  • Facility Phone: 815 777-6426
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ANDREW VANDERHEYDEN
  • NPI Number: 1154619625
  • Taxonomy: 261QR1300X - Clinic/Center

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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
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 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Hospital
Lab Director ANDREW VANDERHEYDEN

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