14D0646772 CLIA NUMBER - OSF HOSPICE - ROCKFORD

Laboratory Demographics

  • CLIA Code: 14D0646772
  • Facility Name: OSF HOSPICE - ROCKFORD
  • Facility Address: 9951 ROCK CUT CROSSING
    LOVES PARK, IL
    ZIP 61111
  • Facility Phone: 815 381-6330
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: COLLEEN M. HOELZER
  • NPI Number: 1518997857
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D0646772
LAB Type Hospice
Facility Name OSF HOSPICE - ROCKFORD
Street 9951 ROCK CUT CROSSING
City LOVES PARK
State IL
ZIP 61111
Phone 815 381-6330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Hospice
Lab Director COLLEEN M. HOELZER

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