14D1101056 CLIA NUMBER - OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSP

Laboratory Demographics

CLIA Code: 14D1101056
Facility Name: OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSP
Facility Address: 500 W ROMEO B GARRETT
PEORIA, IL
ZIP 61605
Facility Phone: (309) 680-1600
Facility Type: Hospital
Facility Type: Accreditation
Lab Director: VIDHU KAUSHIK
NPI Number: 1619734951
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	14D1101056
LAB Type	Hospital
Facility Name	OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSP
Street	500 W ROMEO B GARRETT
City	PEORIA
State	IL
ZIP	61605
Phone	3096801600
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	4/21/2026
Certificate Expiration Date	4/20/2028
Facility Type	Hospital
Lab Director	VIDHU KAUSHIK

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This page was last updated on: 5/15/2026