14D0432570 CLIA NUMBER - OSF HEALTHCARE- MEDICAL GROUP - REYNOLDS

Laboratory Demographics

  • CLIA Code: 14D0432570
  • Facility Name: OSF HEALTHCARE- MEDICAL GROUP - REYNOLDS
  • Facility Address: 1506 W REYNOLDS ST
    PONTIAC, IL
    ZIP 61764
  • Facility Phone: 815 844-6123
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: THOMAS C. MURPHY
  • NPI Number: 1245955608
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0432570
LAB Type Rural Health Clinic
Facility Name OSF HEALTHCARE- MEDICAL GROUP - REYNOLDS
Street 1506 W REYNOLDS ST
City PONTIAC
State IL
ZIP 61764
Phone 815 844-6123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Rural Health Clinic
Lab Director THOMAS C. MURPHY

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