14D2041301 CLIA NUMBER - OSF MULTI-SPECIALTY GROUP

Laboratory Demographics

  • CLIA Code: 14D2041301
  • Facility Name: OSF MULTI-SPECIALTY GROUP
  • Facility Address: 5668 E STATE ST STE 2000
    ROCKFORD, IL
    ZIP 61108
  • Facility Phone: (815) 381-7795
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMEER ANSAR M D
  • NPI Number: 1386538775
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 14D2041301
LAB Type Physician Office
Facility Name OSF MULTI-SPECIALTY GROUP
Street 5668 E STATE ST STE 2000
City ROCKFORD
State IL
ZIP 61108
Phone 8153817795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2026
Certificate Expiration Date 5/20/2028
Facility Type Physician Office
Lab Director SAMEER ANSAR M D

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This page was last updated on: 5/18/2026