14D0436759 CLIA NUMBER - HILLVIEW SENIOR LIVING & REHABILITATION LLC

Laboratory Demographics

  • CLIA Code: 14D0436759
  • Facility Name: HILLVIEW SENIOR LIVING & REHABILITATION LLC
  • Facility Address: 512 N 11TH ST
    VIENNA, IL
    ZIP 62995
  • Facility Phone: 618 826-3210
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT STOUT
  • NPI Number: 1861488090
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0436759
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLVIEW SENIOR LIVING & REHABILITATION LLC
Street 512 N 11TH ST
City VIENNA
State IL
ZIP 62995
Phone 618 826-3210
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 SCOTT STOUT

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This page was last updated on: 6/4/2025