14D0997812 CLIA NUMBER - MCLEANSBORO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 14D0997812
  • Facility Name: MCLEANSBORO FAMILY MEDICINE
  • Facility Address: 208 S WASHINGTON ST
    MCLEANSBORO, IL
    ZIP 62859
  • Facility Phone: (618) 643-2835
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JACOB M. STEWART

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CLIA Record

Field Name Field Value
CLIA Number 14D0997812
LAB Type Rural Health Clinic
Facility Name MCLEANSBORO FAMILY MEDICINE
Street 208 S WASHINGTON ST
City MCLEANSBORO
State IL
ZIP 62859
Phone 6186432835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2026
Certificate Expiration Date 3/27/2028
Facility Type Rural Health Clinic
Lab Director JACOB M. STEWART

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This page was last updated on: 5/18/2026