14D0993475 CLIA NUMBER - MEMORIAL MEDICAL CLINIC - NAVUOO

Laboratory Demographics

  • CLIA Code: 14D0993475
  • Facility Name: MEMORIAL MEDICAL CLINIC - NAVUOO
  • Facility Address: 1370 MULHOLLAND ST
    NAUVOO, IL
    ZIP 62354
  • Facility Phone: (217) 453-6802
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DOUGLAS HEIGHTON
  • NPI Number: 1891972451
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0993475
LAB Type Rural Health Clinic
Facility Name MEMORIAL MEDICAL CLINIC - NAVUOO
Street 1370 MULHOLLAND ST
City NAUVOO
State IL
ZIP 62354
Phone 2174536802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Rural Health Clinic
Lab Director DOUGLAS HEIGHTON

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This page was last updated on: 5/15/2026