14D1073225 CLIA NUMBER - CHANNAHON HEALTHCARE CENTER OF MORRIS HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D1073225
  • Facility Name: CHANNAHON HEALTHCARE CENTER OF MORRIS HOSPITAL
  • Facility Address: 25259 REED STREET
    CHANNAHON, IL
    ZIP 60410
  • Facility Phone: 815 467-0555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY C. CONNOLLY
  • NPI Number: 1174015796
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1073225
LAB Type Physician Office
Facility Name CHANNAHON HEALTHCARE CENTER OF MORRIS HOSPITAL
Street 25259 REED STREET
City CHANNAHON
State IL
ZIP 60410
Phone 815 467-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director MARY C. CONNOLLY

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