14D0920938 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - MINONK

Laboratory Demographics

  • CLIA Code: 14D0920938
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - MINONK
  • Facility Address: 120 E 7TH ST
    MINONK, IL
    ZIP 61760
  • Facility Phone: 309 432-2515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA L. WHITE
  • NPI Number: 1801511266
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0920938
LAB Type Physician Office
Facility Name OSF HEALTHCARE - MEDICAL GROUP - MINONK
Street 120 E 7TH ST
City MINONK
State IL
ZIP 61760
Phone 309 432-2515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director JESSICA L. WHITE

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