14D0646721 CLIA NUMBER - ASCENSION SAINT JOSEPH VILLAGE PRESENCE LIFE CONNECTIONS

Laboratory Demographics

  • CLIA Code: 14D0646721
  • Facility Name: ASCENSION SAINT JOSEPH VILLAGE PRESENCE LIFE CONNECTIONS
  • Facility Address: 659 E JEFFERSON STREET
    FREEPORT, IL
    ZIP 61032
  • Facility Phone: 815 232-6181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALAN ESKER M D
  • NPI Number: 1023004157
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0646721
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASCENSION SAINT JOSEPH VILLAGE PRESENCE LIFE CONNECTIONS
Street 659 E JEFFERSON STREET
City FREEPORT
State IL
ZIP 61032
Phone 815 232-6181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALAN ESKER M D

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