14D0431884 CLIA NUMBER - OSF HOME HEALTH - WESTERN REGION

Laboratory Demographics

  • CLIA Code: 14D0431884
  • Facility Name: OSF HOME HEALTH - WESTERN REGION
  • Facility Address: 3405 N SEMINARY ST
    GALESBURG, IL
    ZIP 61401
  • Facility Phone: 309 344-9700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LORI R. ROBERTS
  • NPI Number: 1972510907
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0431884
LAB Type Home Health Agency
Facility Name OSF HOME HEALTH - WESTERN REGION
Street 3405 N SEMINARY ST
City GALESBURG
State IL
ZIP 61401
Phone 309 344-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director LORI R. ROBERTS

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