14D0431122 CLIA NUMBER - SPRING VALLEY NURSING CENTER

Laboratory Demographics

  • CLIA Code: 14D0431122
  • Facility Name: SPRING VALLEY NURSING CENTER
  • Facility Address: 1300 N GREENWOOD ST
    SPRING VALLEY, IL
    ZIP 61362
  • Facility Phone: 815 664-4708
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHIRLEY M. MICHALSKI RN
  • NPI Number: 1902971021
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0431122
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRING VALLEY NURSING CENTER
Street 1300 N GREENWOOD ST
City SPRING VALLEY
State IL
ZIP 61362
Phone 815 664-4708
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 SHIRLEY M. MICHALSKI RN

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