14D0429729 CLIA NUMBER - SSM HEALTH MONROE CLINIC - LENA BRANCH CLINIC

Laboratory Demographics

  • CLIA Code: 14D0429729
  • Facility Name: SSM HEALTH MONROE CLINIC - LENA BRANCH CLINIC
  • Facility Address: 214 N SCHUYLER ST
    LENA, IL
    ZIP 61048
  • Facility Phone: 815 369-4541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY L. LECLAIR
  • NPI Number: 1245576347
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D0429729
LAB Type Physician Office
Facility Name SSM HEALTH MONROE CLINIC - LENA BRANCH CLINIC
Street 214 N SCHUYLER ST
City LENA
State IL
ZIP 61048
Phone 815 369-4541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director AMY L. LECLAIR

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