14D0431363 CLIA NUMBER - KNOX COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 14D0431363
  • Facility Name: KNOX COUNTY NURSING HOME
  • Facility Address: 800 N MARKET
    KNOXVILLE, IL
    ZIP 61448
  • Facility Phone: 309 289-2338
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA J. FOWLER
  • NPI Number: 1326035304
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0431363
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KNOX COUNTY NURSING HOME
Street 800 N MARKET
City KNOXVILLE
State IL
ZIP 61448
Phone 309 289-2338
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 SARA J. FOWLER

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