14D0431346 CLIA NUMBER - KEWANEE CARE HOME PETERSEN HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 14D0431346
  • Facility Name: KEWANEE CARE HOME PETERSEN HEALTH CARE INC
  • Facility Address: 144 JUNIOR AVENUE
    KEWANEE, IL
    ZIP 61443
  • Facility Phone: 309 853-4429
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE M. PEED
  • NPI Number: 1649236449
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0431346
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KEWANEE CARE HOME PETERSEN HEALTH CARE INC
Street 144 JUNIOR AVENUE
City KEWANEE
State IL
ZIP 61443
Phone 309 853-4429
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 NICOLE M. PEED

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