14D0436140 CLIA NUMBER - FLORA GARDENS CARE CENTER (D/B/A) PETERSON HEALTH NETWORK LLC

Laboratory Demographics

  • CLIA Code: 14D0436140
  • Facility Name: FLORA GARDENS CARE CENTER (D/B/A) PETERSON HEALTH NETWORK LLC
  • Facility Address: 701 SHADWELL AVE
    FLORA, IL
    ZIP 62839
  • Facility Phone: 618 662-8361
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ZACHARY C. FATHEREE
  • NPI Number: 1962654145
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0436140
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FLORA GARDENS CARE CENTER (D/B/A) PETERSON HEALTH NETWORK LLC
Street 701 SHADWELL AVE
City FLORA
State IL
ZIP 62839
Phone 618 662-8361
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 ZACHARY C. FATHEREE

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