14D0998981 CLIA NUMBER - ROSECRANCE HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 14D0998981
  • Facility Name: ROSECRANCE HEALTH NETWORK
  • Facility Address: 1021 N MULFORD RD
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 391-1000
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: THOMAS E. WRIGHT MD
  • NPI Number: 1588945869
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0998981
LAB Type Other
Facility Name ROSECRANCE HEALTH NETWORK
Street 1021 N MULFORD RD
City ROCKFORD
State IL
ZIP 61107
Phone 815 391-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other
Lab Director THOMAS E. WRIGHT MD

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