14D0646748 CLIA NUMBER - CITADEL AT SAINT ANNE PLACE

Laboratory Demographics

  • CLIA Code: 14D0646748
  • Facility Name: CITADEL AT SAINT ANNE PLACE
  • Facility Address: 4405 HIGHCREST RD
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: (815) 229-1999
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN L. THOR
  • NPI Number: 1598644130
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0646748
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CITADEL AT SAINT ANNE PLACE
Street 4405 HIGHCREST RD
City ROCKFORD
State IL
ZIP 61107
Phone 8152291999
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 BRIAN L. THOR

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This page was last updated on: 5/18/2026