14D0675320 CLIA NUMBER - HEDGES CLINIC

Laboratory Demographics

CLIA Number: 14D0675320

Facility Name: HEDGES CLINIC

Facility Address:
21205 OWENS RD
MOKENA, IL
ZIP 60448
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Facility Phone Number: 815 469-2123

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1326111600

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D0675320
LAB Type	Physician Office
Facility Name	HEDGES CLINIC
Street	21205 OWENS RD
City	MOKENA
State	IL
ZIP	60448
Phone	815 469-2123
CertificateType	2
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024