14D0432460 CLIA NUMBER - HOPEDALE MEDICAL COMPLEX

Laboratory Demographics

  • CLIA Code: 14D0432460
  • Facility Name: HOPEDALE MEDICAL COMPLEX
  • Facility Address: 107 S TREMONT ST
    HOPEDALE, IL
    ZIP 61747
  • Facility Phone: 309 449-4384
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL D. LUNT
  • NPI Number: 1306977699
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0432460
LAB Type Hospital
Facility Name HOPEDALE MEDICAL COMPLEX
Street 107 S TREMONT ST
City HOPEDALE
State IL
ZIP 61747
Phone 309 449-4384
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Hospital
Lab Director MICHAEL D. LUNT

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