10D0667777 CLIA NUMBER - HAVANA HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0667777
  • Facility Name: HAVANA HEALTH CARE CENTER
  • Facility Address: 609 N HARPHAM ST
    HAVANA, IL
    ZIP 62644
  • Facility Phone: 309 543-6121
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHERRY L. MILLER
  • NPI Number: 1346206315
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0667777
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAVANA HEALTH CARE CENTER
Street 609 N HARPHAM ST
City HAVANA
State IL
ZIP 62644
Phone 309 543-6121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHERRY L. MILLER

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