14D0702651 CLIA NUMBER - BOWEN FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 14D0702651
  • Facility Name: BOWEN FAMILY CLINIC
  • Facility Address: 209 E 5TH ST
    BOWEN, IL
    ZIP 62316
  • Facility Phone: (217) 842-5211
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD F. MC KENNEY
  • NPI Number: 1437100831
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0702651
LAB Type Rural Health Clinic
Facility Name BOWEN FAMILY CLINIC
Street 209 E 5TH ST
City BOWEN
State IL
ZIP 62316
Phone 2178425211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Rural Health Clinic
Lab Director DR. EDWARD F. MC KENNEY

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This page was last updated on: 6/29/2026