14D2046619 CLIA NUMBER - RURAL HEALTH INC - GOREVILLE

Laboratory Demographics

  • CLIA Code: 14D2046619
  • Facility Name: RURAL HEALTH INC - GOREVILLE
  • Facility Address: 211 N BROADWAY
    GOREVILLE, IL
    ZIP 62939
  • Facility Phone: 618 995-1002
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KATHERINE C. PAINTER
  • NPI Number: 1942968664
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2046619
LAB Type Federally Qualified Health Center
Facility Name RURAL HEALTH INC - GOREVILLE
Street 211 N BROADWAY
City GOREVILLE
State IL
ZIP 62939
Phone 618 995-1002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Federally Qualified Health Center
Lab Director KATHERINE C. PAINTER

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