14D0970740 CLIA NUMBER - WESTERN ILLINOIS MANAGED HOME SERVICES

Laboratory Demographics

  • CLIA Code: 14D0970740
  • Facility Name: WESTERN ILLINOIS MANAGED HOME SERVICES
  • Facility Address: 1197 N HENDERSON ST - STE 1
    GALESBURG, IL
    ZIP 61401
  • Facility Phone: 309 342-3516
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RACHEL A. HECOX
  • NPI Number: 1326152067
  • Taxonomy: 251J00000X - Nursing Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0970740
LAB Type Other
Facility Name WESTERN ILLINOIS MANAGED HOME SERVICES
Street 1197 N HENDERSON ST - STE 1
City GALESBURG
State IL
ZIP 61401
Phone 309 342-3516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Other
Lab Director RACHEL A. HECOX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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