14D0435332 CLIA NUMBER - HERITAGE MANOR SOUTH

Laboratory Demographics

  • CLIA Code: 14D0435332
  • Facility Name: HERITAGE MANOR SOUTH
  • Facility Address: 8306 ST LUKE DRIVE
    BEARDSTOWN, IL
    ZIP 62618
  • Facility Phone: 217 323-4035
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: COURTNEY SWEATMAN
  • NPI Number: 1700877693
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0435332
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE MANOR SOUTH
Street 8306 ST LUKE DRIVE
City BEARDSTOWN
State IL
ZIP 62618
Phone 217 323-4035
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 COURTNEY SWEATMAN

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