14D0429627 CLIA NUMBER - FRANKLIN GROVE LIVING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 14D0429627
  • Facility Name: FRANKLIN GROVE LIVING & REHABILITATION CENTER
  • Facility Address: 502 N STATE ST
    FRANKLIN GROVE, IL
    ZIP 61031
  • Facility Phone: 815 456-2374
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANA S. PAYTON
  • NPI Number: 1861466849
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0429627
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FRANKLIN GROVE LIVING & REHABILITATION CENTER
Street 502 N STATE ST
City FRANKLIN GROVE
State IL
ZIP 61031
Phone 815 456-2374
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 DANA S. PAYTON

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