14D0436168 CLIA NUMBER - HAMILTON MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0436168
  • Facility Name: HAMILTON MEMORIAL HOSPITAL
  • Facility Address: 611 S MARSHALL AVE - P O BOX 429
    MCLEANSBORO, IL
    ZIP 62859
  • Facility Phone: 618 643-2361
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: TERAKEITH LERTSBURAPA
  • NPI Number: 1588902183
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0436168
LAB Type Hospital
Facility Name HAMILTON MEMORIAL HOSPITAL
Street 611 S MARSHALL AVE - P O BOX 429
City MCLEANSBORO
State IL
ZIP 62859
Phone 618 643-2361
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 TERAKEITH LERTSBURAPA

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