14D2317918 CLIA NUMBER - HEARTLAND HEALTH SERVICES - KANSAS

Laboratory Demographics

  • CLIA Code: 14D2317918
  • Facility Name: HEARTLAND HEALTH SERVICES - KANSAS
  • Facility Address: 512 E KANSAS ST
    PEORIA, IL
    ZIP 61603
  • Facility Phone: 306 680-7600
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SARAH S. KOSCICA
  • NPI Number: 1952322901
  • Taxonomy: 3336H0001X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2317918
LAB Type Federally Qualified Health Center
Facility Name HEARTLAND HEALTH SERVICES - KANSAS
Street 512 E KANSAS ST
City PEORIA
State IL
ZIP 61603
Phone 306 680-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Federally Qualified Health Center
Lab Director SARAH S. KOSCICA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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