14D0044346 CLIA NUMBER - CARLE HEALTH PROCTOR HOSPITAL

Laboratory Demographics

CLIA Number: 14D0044346

Facility Name: CARLE HEALTH PROCTOR HOSPITAL

Facility Address:
5409 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
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Facility Phone Number: 309 691-1060

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1487624318

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	14D0044346
LAB Type	Hospital
Facility Name	CARLE HEALTH PROCTOR HOSPITAL
Street	5409 N KNOXVILLE AVE
City	PEORIA
State	IL
ZIP	61614
Phone	309 691-1060
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024