14D0431752 CLIA NUMBER - OSF MULTI-SPECIALTY GROUP

Laboratory Demographics

  • CLIA Code: 14D0431752
  • Facility Name: OSF MULTI-SPECIALTY GROUP
  • Facility Address: 10 ST CLARE CT-SUITE 100
    WASHINGTON, IL
    ZIP 61571
  • Facility Phone: 309 886-4034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES BOLEY
  • NPI Number: 1881151207
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D0431752
LAB Type Physician Office
Facility Name OSF MULTI-SPECIALTY GROUP
Street 10 ST CLARE CT-SUITE 100
City WASHINGTON
State IL
ZIP 61571
Phone 309 886-4034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director CHARLES BOLEY

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