14D0434230 CLIA NUMBER - MEMORIAL HOSPITAL (CHESTER CLINIC)

Laboratory Demographics

  • CLIA Code: 14D0434230
  • Facility Name: MEMORIAL HOSPITAL (CHESTER CLINIC)
  • Facility Address: 2319 OLD PLANK RD
    CHESTER, IL
    ZIP 62233
  • Facility Phone: (618) 826-2388
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL VANVRANCKEN
  • NPI Number: 1629469002
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0434230
LAB Type Rural Health Clinic
Facility Name MEMORIAL HOSPITAL (CHESTER CLINIC)
Street 2319 OLD PLANK RD
City CHESTER
State IL
ZIP 62233
Phone 6188262388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2026
Certificate Expiration Date 6/7/2028
Facility Type Rural Health Clinic
Lab Director MICHAEL VANVRANCKEN

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This page was last updated on: 5/18/2026