14D0431141 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - STREATOR

Laboratory Demographics

  • CLIA Code: 14D0431141
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - STREATOR
  • Facility Address: 111 SPRING ST - FL 4
    STREATOR, IL
    ZIP 61364
  • Facility Phone: 815 672-4587
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK WARGO
  • NPI Number: 1891399432
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0431141
LAB Type Physician Office
Facility Name OSF HEALTHCARE - MEDICAL GROUP - STREATOR
Street 111 SPRING ST - FL 4
City STREATOR
State IL
ZIP 61364
Phone 815 672-4587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MARK WARGO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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