14D0726639 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - PRINCETON

Laboratory Demographics

  • CLIA Code: 14D0726639
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - PRINCETON
  • Facility Address: 530 PARK AVE EAST
    PRINCETON, IL
    ZIP 61356
  • Facility Phone: 815 876-3035
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BLANFORD
  • NPI Number: 1164015517
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0726639
LAB Type Rural Health Clinic
Facility Name OSF HEALTHCARE - MEDICAL GROUP - PRINCETON
Street 530 PARK AVE EAST
City PRINCETON
State IL
ZIP 61356
Phone 815 876-3035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Rural Health Clinic
Lab Director CHRISTOPHER BLANFORD

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