14D2094439 CLIA NUMBER - OSF MULTISPECIALTY GROUP - ORTHOPEDICS

Laboratory Demographics

  • CLIA Code: 14D2094439
  • Facility Name: OSF MULTISPECIALTY GROUP - ORTHOPEDICS
  • Facility Address: 1050 NORRIS DR, STE 3
    OTTAWA, IL
    ZIP 61350
  • Facility Phone: 815 431-5746
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZIA SAMAD
  • NPI Number: 1518424969
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D2094439
LAB Type Physician Office
Facility Name OSF MULTISPECIALTY GROUP - ORTHOPEDICS
Street 1050 NORRIS DR, STE 3
City OTTAWA
State IL
ZIP 61350
Phone 815 431-5746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director ZIA SAMAD

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