14D0434236 CLIA NUMBER - MEMORIAL HOSPITAL

Laboratory Demographics

CLIA Number: 14D0434236

Facility Name: MEMORIAL HOSPITAL

Facility Address:
1900 STATE STREET
CHESTER, IL
ZIP 62233
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Facility Phone Number: 618 826-4581

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1225429566

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0434236
LAB Type	Hospital
Facility Name	MEMORIAL HOSPITAL
Street	1900 STATE STREET
City	CHESTER
State	IL
ZIP	62233
Phone	618 826-4581
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024