14D0968004 CLIA NUMBER - BLESSING HEALTH HAMILTON WARSAW

Laboratory Demographics

  • CLIA Code: 14D0968004
  • Facility Name: BLESSING HEALTH HAMILTON WARSAW
  • Facility Address: 1102 N COUNTY ROAD 700
    WARSAW, IL
    ZIP 62379
  • Facility Phone: 217 256-4100
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ANNETTE Y. OETKEN
  • NPI Number: 1720186265
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0968004
LAB Type Rural Health Clinic
Facility Name BLESSING HEALTH HAMILTON WARSAW
Street 1102 N COUNTY ROAD 700
City WARSAW
State IL
ZIP 62379
Phone 217 256-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Rural Health Clinic
Lab Director ANNETTE Y. OETKEN

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