14D0938700 CLIA NUMBER - OSF MULTI-SPECIALTY GROUP-PROMPT CARE MORTON

Laboratory Demographics

  • CLIA Code: 14D0938700
  • Facility Name: OSF MULTI-SPECIALTY GROUP-PROMPT CARE MORTON
  • Facility Address: 435 MAXINE DRIVE - SUITE 1
    MORTON, IL
    ZIP 61550
  • Facility Phone: 309 683-2410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUKE Y. XIE M D
  • NPI Number: 1497398648
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D0938700
LAB Type Physician Office
Facility Name OSF MULTI-SPECIALTY GROUP-PROMPT CARE MORTON
Street 435 MAXINE DRIVE - SUITE 1
City MORTON
State IL
ZIP 61550
Phone 309 683-2410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director LUKE Y. XIE M D

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