14D0665822 CLIA NUMBER - EASTSIDE HEALTH & REHAB CENTER PETERSEN HEALTH OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 14D0665822
  • Facility Name: EASTSIDE HEALTH & REHAB CENTER PETERSEN HEALTH OPERATIONS LLC
  • Facility Address: 1400 E WASHINGTON
    PITTSFIELD, IL
    ZIP 62363
  • Facility Phone: 217 285-4491
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LEIGH CRANE
  • NPI Number: 1093969008
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0665822
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EASTSIDE HEALTH & REHAB CENTER PETERSEN HEALTH OPERATIONS LLC
Street 1400 E WASHINGTON
City PITTSFIELD
State IL
ZIP 62363
Phone 217 285-4491
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 LEIGH CRANE

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