14D2051513 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - EL PASO

Laboratory Demographics

  • CLIA Code: 14D2051513
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - EL PASO
  • Facility Address: 100 DELANEY DR
    EL PASO, IL
    ZIP 61738
  • Facility Phone: 309 527-2260
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PAUL HAKES
  • NPI Number: 1154046597
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2051513
LAB Type Rural Health Clinic
Facility Name OSF HEALTHCARE - MEDICAL GROUP - EL PASO
Street 100 DELANEY DR
City EL PASO
State IL
ZIP 61738
Phone 309 527-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Rural Health Clinic
Lab Director PAUL HAKES

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