14D0646747 CLIA NUMBER - AMBERWOOD CARE CENTER L L C

Laboratory Demographics

  • CLIA Code: 14D0646747
  • Facility Name: AMBERWOOD CARE CENTER L L C
  • Facility Address: 2313 N ROCKTON AVE
    ROCKFORD, IL
    ZIP 61103
  • Facility Phone: 815 964-2200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY LUNDGREN R N
  • NPI Number: 1245576735
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0646747
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AMBERWOOD CARE CENTER L L C
Street 2313 N ROCKTON AVE
City ROCKFORD
State IL
ZIP 61103
Phone 815 964-2200
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 AMY LUNDGREN R N

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