14D1036632 CLIA NUMBER - FAMILY HEALTHCARE CLINIC C/O FRANKLIN HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D1036632
  • Facility Name: FAMILY HEALTHCARE CLINIC C/O FRANKLIN HOSPITAL
  • Facility Address: 201 BAILEY LN
    BENTON, IL
    ZIP 62812
  • Facility Phone: 618 439-3161
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GEMILO RESABA, MD
  • NPI Number: 1033140488
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1036632
LAB Type Rural Health Clinic
Facility Name FAMILY HEALTHCARE CLINIC C/O FRANKLIN HOSPITAL
Street 201 BAILEY LN
City BENTON
State IL
ZIP 62812
Phone 618 439-3161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Rural Health Clinic
Lab Director GEMILO RESABA, MD

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