14D1082222 CLIA NUMBER - WEST FRANKFORT FAMILY HEALTHCARE CLINIC FRANKLIN HOSPITAL DISTRICT D/B/A

Laboratory Demographics

  • CLIA Code: 14D1082222
  • Facility Name: WEST FRANKFORT FAMILY HEALTHCARE CLINIC FRANKLIN HOSPITAL DISTRICT D/B/A
  • Facility Address: 309 W ST LOUIS STREET, STE B
    WEST FRANKFORT, IL
    ZIP 62896
  • Facility Phone: 618 932-2200
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID HARTMAN MD
  • NPI Number: 1376861385
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1082222
LAB Type Practitioner Other
Facility Name WEST FRANKFORT FAMILY HEALTHCARE CLINIC FRANKLIN HOSPITAL DISTRICT D/B/A
Street 309 W ST LOUIS STREET, STE B
City WEST FRANKFORT
State IL
ZIP 62896
Phone 618 932-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Practitioner Other
Lab Director DAVID HARTMAN MD

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