14D2044573 CLIA NUMBER - WOMEN'S CENTER AT ROCKFORD HEALTH SYSTEM, THE

Laboratory Demographics

CLIA Number: 14D2044573

Facility Name: WOMEN'S CENTER AT ROCKFORD HEALTH SYSTEM, THE

Facility Address:
2780 MCFARLAND RD
ROCKFORD, IL
ZIP 61107
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Facility Phone Number: 815 971-2299

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477741320

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 14D2044573
LAB Type Physician Office
Facility Name WOMEN'S CENTER AT ROCKFORD HEALTH SYSTEM, THE
Street 2780 MCFARLAND RD
City ROCKFORD
State IL
ZIP 61107
Phone 815 971-2299
CertificateType 4
CertificateEffectiveDate 10/1/2023
CertificateExpirationDate 9/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024