14D2157264 CLIA NUMBER - HEARTLAND WOMEN'S HEALTHCARE

Laboratory Demographics

CLIA Number: 14D2157264

Facility Name: HEARTLAND WOMEN'S HEALTHCARE

Facility Address:
723 STATION CROSSING
WATERLOO, IL
ZIP 62298
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Facility Phone Number: 618 997-5266

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1568057131

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D2157264
LAB Type	Physician Office
Facility Name	HEARTLAND WOMEN'S HEALTHCARE
Street	723 STATION CROSSING
City	WATERLOO
State	IL
ZIP	62298
Phone	618 997-5266
CertificateType	3
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	PPMP

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