14D0668828 CLIA NUMBER - ROCHELLE REHAB & HEALTH CARE CENTER PETERSON HEALTH NETWORK LLC

Laboratory Demographics

  • CLIA Code: 14D0668828
  • Facility Name: ROCHELLE REHAB & HEALTH CARE CENTER PETERSON HEALTH NETWORK LLC
  • Facility Address: 900 N THIRD ST
    ROCHELLE, IL
    ZIP 61068
  • Facility Phone: 815 562-4111
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EVONNE R. BOSCH
  • NPI Number: 1780836965
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0668828
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROCHELLE REHAB & HEALTH CARE CENTER PETERSON HEALTH NETWORK LLC
Street 900 N THIRD ST
City ROCHELLE
State IL
ZIP 61068
Phone 815 562-4111
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 EVONNE R. BOSCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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