14D2264211 CLIA NUMBER - MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D2264211
  • Facility Name: MEMORIAL HOSPITAL
  • Facility Address: 1454 N COUNTY RD 2050 - PO BOX 160
    CARTHAGE, IL
    ZIP 62321
  • Facility Phone: (217) 357-8630
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: VICTORIA POPELA
  • NPI Number: 1073858262
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D2264211
LAB Type Hospital
Facility Name MEMORIAL HOSPITAL
Street 1454 N COUNTY RD 2050 - PO BOX 160
City CARTHAGE
State IL
ZIP 62321
Phone 2173578630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Hospital
Lab Director VICTORIA POPELA

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This page was last updated on: 5/18/2026