14D2292421 CLIA NUMBER - OSF ONCALL DIGITAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D2292421
  • Facility Name: OSF ONCALL DIGITAL HOSPITAL
  • Facility Address: 330 S W ADAMS
    PEORIA, IL
    ZIP 61602
  • Facility Phone: 309 683-5604
  • Facility Type: Other - TESTING IN PATIENT HOMES
  • Facility Type: Waiver
  • Lab Director: PAUL MOOTS
  • NPI Number: 1629791025
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D2292421
LAB Type Other - TESTING IN PATIENT HOMES
Facility Name OSF ONCALL DIGITAL HOSPITAL
Street 330 S W ADAMS
City PEORIA
State IL
ZIP 61602
Phone 309 683-5604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Other - TESTING IN PATIENT HOMES
Lab Director PAUL MOOTS

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