14D2226442 CLIA NUMBER - MONTES PSYCHIATRIC CENTER, P C

Laboratory Demographics

  • CLIA Code: 14D2226442
  • Facility Name: MONTES PSYCHIATRIC CENTER, P C
  • Facility Address: 6090 STRATHMOOR DR - STE 1
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 839-8180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE F. MONTES
  • NPI Number: 1629694278
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2226442
LAB Type Physician Office
Facility Name MONTES PSYCHIATRIC CENTER, P C
Street 6090 STRATHMOOR DR - STE 1
City ROCKFORD
State IL
ZIP 61107
Phone 815 839-8180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director JOSE F. MONTES

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