14D0430227 CLIA NUMBER - ALDEN PARK STRATHMOOR INC

Laboratory Demographics

  • CLIA Code: 14D0430227
  • Facility Name: ALDEN PARK STRATHMOOR INC
  • Facility Address: 5668 STRATHMOOR DR
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 229-5200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEVEN DISANTI
  • NPI Number: 1992160774
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0430227
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALDEN PARK STRATHMOOR INC
Street 5668 STRATHMOOR DR
City ROCKFORD
State IL
ZIP 61107
Phone 815 229-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEVEN DISANTI

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