14D2134716 CLIA NUMBER - OSF HEALTHCARE - MEDICAL GROUP - HENRY

Laboratory Demographics

  • CLIA Code: 14D2134716
  • Facility Name: OSF HEALTHCARE - MEDICAL GROUP - HENRY
  • Facility Address: 327 EDWARD ST
    HENRY, IL
    ZIP 61537
  • Facility Phone: 309 364-2002
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BLANDFORD
  • NPI Number: 1568187938
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2134716
LAB Type Rural Health Clinic
Facility Name OSF HEALTHCARE - MEDICAL GROUP - HENRY
Street 327 EDWARD ST
City HENRY
State IL
ZIP 61537
Phone 309 364-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Rural Health Clinic
Lab Director CHRISTOPHER BLANDFORD

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