14D0662885 CLIA NUMBER - RENAISSANCE CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 14D0662885
  • Facility Name: RENAISSANCE CARE CENTER INC
  • Facility Address: 1675 EAST ASH STREET
    CANTON, IL
    ZIP 61520
  • Facility Phone: 309 647-5631
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BONNIE S. BREESE
  • NPI Number: 1801288915
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0662885
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RENAISSANCE CARE CENTER INC
Street 1675 EAST ASH STREET
City CANTON
State IL
ZIP 61520
Phone 309 647-5631
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 BONNIE S. BREESE

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