14D2045418 CLIA NUMBER - HEARTLAND WOMENS HEALTHCARE

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Laboratory Demographics

CLIA Number: 14D2045418

Facility Name: HEARTLAND WOMENS HEALTHCARE

Facility Address:
24 VETERANS DR
HARRISBURG, IL
ZIP 62946
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Facility Phone Number: 618 997-5266

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1841763810

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2045418
LAB Type	Physician Office
Facility Name	HEARTLAND WOMENS HEALTHCARE
Street	24 VETERANS DR
City	HARRISBURG
State	IL
ZIP	62946
Phone	618 997-5266
CertificateType	3
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	PPMP

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