14D0415288 CLIA NUMBER - DEKALB COUNTY REHAB & NURSING CTR

Laboratory Demographics

  • CLIA Code: 14D0415288
  • Facility Name: DEKALB COUNTY REHAB & NURSING CTR
  • Facility Address: 2600 N ANNIE GLIDDEN ROAD
    DEKALB, IL
    ZIP 60115
  • Facility Phone: 815 758-2477
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY LARSON
  • NPI Number: 1023011798
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0415288
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DEKALB COUNTY REHAB & NURSING CTR
Street 2600 N ANNIE GLIDDEN ROAD
City DEKALB
State IL
ZIP 60115
Phone 815 758-2477
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 AMY LARSON

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