14D0683305 CLIA NUMBER - CASEY REHAB & NURSING LLC

Laboratory Demographics

  • CLIA Code: 14D0683305
  • Facility Name: CASEY REHAB & NURSING LLC
  • Facility Address: 100 N E 15TH ST
    CASEY, IL
    ZIP 62420
  • Facility Phone: 845 414-3300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHAIM MILLMAN
  • NPI Number: 1093771800
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0683305
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASEY REHAB & NURSING LLC
Street 100 N E 15TH ST
City CASEY
State IL
ZIP 62420
Phone 845 414-3300
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 CHAIM MILLMAN

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