14D0433056 CLIA NUMBER - HILLTOP SKILLED NURSING AND REHAB CTR (D/B/A) CONVENANT CARE HILLTOP LLC

Laboratory Demographics

  • CLIA Code: 14D0433056
  • Facility Name: HILLTOP SKILLED NURSING AND REHAB CTR (D/B/A) CONVENANT CARE HILLTOP LLC
  • Facility Address: 910 W POLK ST
    CHARLESTON, IL
    ZIP 61920
  • Facility Phone: 217 345-7066
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EMILY MASULIS
  • NPI Number: 1295034437
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0433056
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLTOP SKILLED NURSING AND REHAB CTR (D/B/A) CONVENANT CARE HILLTOP LLC
Street 910 W POLK ST
City CHARLESTON
State IL
ZIP 61920
Phone 217 345-7066
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 EMILY MASULIS

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