14D0434236 CLIA NUMBER - MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0434236
  • Facility Name: MEMORIAL HOSPITAL
  • Facility Address: 1900 STATE STREET
    CHESTER, IL
    ZIP 62233
  • Facility Phone: 618 826-4581
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL J. VAN VRANCKEN
  • NPI Number: 1225429566
  • Taxonomy: 261QR1300X - Clinic/Center

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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
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. MICHAEL J. VAN VRANCKEN

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