14D0431767 CLIA NUMBER - WASHINGTON SENIOR LIVING L L C

Laboratory Demographics

CLIA Number: 14D0431767

Facility Name: WASHINGTON SENIOR LIVING L L C

Facility Address:
1201 NEWCASTLE RD
WASHINGTON, IL
ZIP 61571
Get Directions

Facility Phone Number: 309 444-3161

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1497906101

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D0431767
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WASHINGTON SENIOR LIVING L L C
Street	1201 NEWCASTLE RD
City	WASHINGTON
State	IL
ZIP	61571
Phone	309 444-3161
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024