14D0434806 CLIA NUMBER - LUTHERAN CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0434806
  • Facility Name: LUTHERAN CARE CENTER
  • Facility Address: 702 W CUMBERLAND RD
    ALTAMONT, IL
    ZIP 62411
  • Facility Phone: 618 483-6136
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHELBY TELESE
  • NPI Number: 1497736268
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0434806
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHERAN CARE CENTER
Street 702 W CUMBERLAND RD
City ALTAMONT
State IL
ZIP 62411
Phone 618 483-6136
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 SHELBY TELESE

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