14D0876082 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - FAIRBURY

Laboratory Demographics

  • CLIA Code: 14D0876082
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - FAIRBURY
  • Facility Address: 106 S 1ST ST
    FAIRBURY, IL
    ZIP 61739
  • Facility Phone: 815 692-2308
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATHLEEN A. LEINEN
  • NPI Number: 1912622374
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0876082
LAB Type Rural Health Clinic
Facility Name OSF HEALTHCARE - MEDICAL GROUP - FAIRBURY
Street 106 S 1ST ST
City FAIRBURY
State IL
ZIP 61739
Phone 815 692-2308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Rural Health Clinic
Lab Director KATHLEEN A. LEINEN

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