14D0646753 CLIA NUMBER - NORTHWOODS CARE CENTRE

Laboratory Demographics

  • CLIA Code: 14D0646753
  • Facility Name: NORTHWOODS CARE CENTRE
  • Facility Address: 2250 PEARL ST
    BELVIDERE, IL
    ZIP 61008
  • Facility Phone: 815 544-0358
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS MICHALSEN
  • NPI Number: 1265418412
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0646753
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHWOODS CARE CENTRE
Street 2250 PEARL ST
City BELVIDERE
State IL
ZIP 61008
Phone 815 544-0358
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 THOMAS MICHALSEN

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