14D0436524 CLIA NUMBER - FERRELL HOSPITAL COMMUNITY FOUNDATION

Laboratory Demographics

  • CLIA Code: 14D0436524
  • Facility Name: FERRELL HOSPITAL COMMUNITY FOUNDATION
  • Facility Address: 1201 PINE ST
    ELDORADO, IL
    ZIP 62930
  • Facility Phone: 618 273-3361
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. STEPHEN E. GODFREY
  • NPI Number: 1194713404
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D0436524
LAB Type Hospital
Facility Name FERRELL HOSPITAL COMMUNITY FOUNDATION
Street 1201 PINE ST
City ELDORADO
State IL
ZIP 62930
Phone 618 273-3361
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 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Hospital
Lab Director DR. STEPHEN E. GODFREY

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