14D0435387 CLIA NUMBER - MASON DISTRICT HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0435387
  • Facility Name: MASON DISTRICT HOSPITAL
  • Facility Address: 615 N PROMENADE ST
    HAVANA, IL
    ZIP 62644
  • Facility Phone: 309 543-5830
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. RONALD CHAMPAGNE
  • NPI Number: 1063645539
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D0435387
LAB Type Hospital
Facility Name MASON DISTRICT HOSPITAL
Street 615 N PROMENADE ST
City HAVANA
State IL
ZIP 62644
Phone 309 543-5830
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 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. RONALD CHAMPAGNE

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