14D1016781 CLIA NUMBER - LA SALLE CBOC

Laboratory Demographics

  • CLIA Code: 14D1016781
  • Facility Name: LA SALLE CBOC
  • Facility Address: 2970 CHARTRES STREET
    LA SALLE, IL
    ZIP 61301
  • Facility Phone: 815 223-9678
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: BRUCE E. DUNN
  • NPI Number: 1114196193
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D1016781
LAB Type Community Clinic
Facility Name LA SALLE CBOC
Street 2970 CHARTRES STREET
City LA SALLE
State IL
ZIP 61301
Phone 815 223-9678
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/8/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director BRUCE E. DUNN

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