14D0678988 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - CLINTON

Laboratory Demographics

  • CLIA Code: 14D0678988
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - CLINTON
  • Facility Address: 1231 KLEEMAN DR
    CLINTON, IL
    ZIP 61727
  • Facility Phone: 217 935-5022
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DAREN J. RAUCH
  • NPI Number: 1770208134
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0678988
LAB Type Rural Health Clinic
Facility Name OSF HEALTHCARE - MEDICAL GROUP - CLINTON
Street 1231 KLEEMAN DR
City CLINTON
State IL
ZIP 61727
Phone 217 935-5022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Rural Health Clinic
Lab Director DAREN J. RAUCH

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