14D1000129 CLIA NUMBER - OSF HOLY FAMILY CLINICS

Laboratory Demographics

  • CLIA Code: 14D1000129
  • Facility Name: OSF HOLY FAMILY CLINICS
  • Facility Address: 1000 W HARLEM AVE
    MONMOUTH, IL
    ZIP 61462
  • Facility Phone: 309 734-1414
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MARA BESSINE
  • NPI Number: 1902925217
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1000129
LAB Type Rural Health Clinic
Facility Name OSF HOLY FAMILY CLINICS
Street 1000 W HARLEM AVE
City MONMOUTH
State IL
ZIP 61462
Phone 309 734-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Rural Health Clinic
Lab Director MARA BESSINE

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