14D0434997 CLIA NUMBER - DECATUR REHABILITATION & HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0434997
  • Facility Name: DECATUR REHABILITATION & HEALTH CARE CENTER
  • Facility Address: 136 S DIPPER LANE
    DECATUR, IL
    ZIP 62522
  • Facility Phone: 217 428-7767
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRACEY ADAMS STEIN
  • NPI Number: 1063459329
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0434997
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DECATUR REHABILITATION & HEALTH CARE CENTER
Street 136 S DIPPER LANE
City DECATUR
State IL
ZIP 62522
Phone 217 428-7767
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 TRACEY ADAMS STEIN

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