14D0434412 CLIA NUMBER - FRIENDSHIP MANOR HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D0434412
  • Facility Name: FRIENDSHIP MANOR HEALTH CENTER
  • Facility Address: 485 S FRIENDSHIP DR
    NASHVILLE, IL
    ZIP 62263
  • Facility Phone: 618 327-3041
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CATHY E. LIETZ
  • NPI Number: 1063666949
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0434412
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FRIENDSHIP MANOR HEALTH CENTER
Street 485 S FRIENDSHIP DR
City NASHVILLE
State IL
ZIP 62263
Phone 618 327-3041
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 CATHY E. LIETZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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