14D0662574 CLIA NUMBER - WESTMINSTER VILLAGE INC

Laboratory Demographics

  • CLIA Code: 14D0662574
  • Facility Name: WESTMINSTER VILLAGE INC
  • Facility Address: 2025 E LINCOLN AVE
    BLOOMINGTON, IL
    ZIP 61701
  • Facility Phone: 309 663-6474
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATT RIEHLE
  • NPI Number: 1346315165
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0662574
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTMINSTER VILLAGE INC
Street 2025 E LINCOLN AVE
City BLOOMINGTON
State IL
ZIP 61701
Phone 309 663-6474
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 MATT RIEHLE

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