14D0931274 CLIA NUMBER - SCHUYLER CO HOSP DIST HEALTH CTR COMM MED CLINIC

Laboratory Demographics

  • CLIA Code: 14D0931274
  • Facility Name: SCHUYLER CO HOSP DIST HEALTH CTR COMM MED CLINIC
  • Facility Address: 135 W BROADWAY
    ASTORIA, IL
    ZIP 61501
  • Facility Phone: 309 329-3926
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CARLOS ALBERTO URDININEA KIRKWOOD
  • NPI Number: 1811199375
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D0931274
LAB Type Rural Health Clinic
Facility Name SCHUYLER CO HOSP DIST HEALTH CTR COMM MED CLINIC
Street 135 W BROADWAY
City ASTORIA
State IL
ZIP 61501
Phone 309 329-3926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Rural Health Clinic
Lab Director CARLOS ALBERTO URDININEA KIRKWOOD

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