14D0432174 CLIA NUMBER - OSF MULTI-SPECIALTY GROUP

Laboratory Demographics

  • CLIA Code: 14D0432174
  • Facility Name: OSF MULTI-SPECIALTY GROUP
  • Facility Address: 6339 N BIG HOLLOW ROAD
    PEORIA, IL
    ZIP 61615
  • Facility Phone: 309 693-3315
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT S. BEVILL
  • NPI Number: 1467041343
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0432174
LAB Type Physician Office
Facility Name OSF MULTI-SPECIALTY GROUP
Street 6339 N BIG HOLLOW ROAD
City PEORIA
State IL
ZIP 61615
Phone 309 693-3315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director ROBERT S. BEVILL

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