14D0433563 CLIA NUMBER - HEARTLAND RURAL HEALTHCARE L L C

Laboratory Demographics

  • CLIA Code: 14D0433563
  • Facility Name: HEARTLAND RURAL HEALTHCARE L L C
  • Facility Address: 2044 MADISON AVE STE 15
    GRANITE CITY, IL
    ZIP 62040
  • Facility Phone: 618 451-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENEDICT PAINTER M D
  • NPI Number: 1073567483
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0433563
LAB Type Physician Office
Facility Name HEARTLAND RURAL HEALTHCARE L L C
Street 2044 MADISON AVE STE 15
City GRANITE CITY
State IL
ZIP 62040
Phone 618 451-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director BENEDICT PAINTER M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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