14D2321853 CLIA NUMBER - MIDWEST MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D2321853
  • Facility Name: MIDWEST MEDICAL CENTER
  • Facility Address: ONE MEDICAL CENTER DR - FAMILY CLINIC
    GALENA, IL
    ZIP 61036
  • Facility Phone: 815 777-6426
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. WELLS
  • NPI Number: 1295126944
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2321853
LAB Type Rural Health Clinic
Facility Name MIDWEST MEDICAL CENTER
Street ONE MEDICAL CENTER DR - FAMILY CLINIC
City GALENA
State IL
ZIP 61036
Phone 815 777-6426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Rural Health Clinic
Lab Director MICHAEL J. WELLS

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