14D0695938 CLIA NUMBER - MCLEAN COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 14D0695938
  • Facility Name: MCLEAN COUNTY NURSING HOME
  • Facility Address: 901 N MAIN ST
    NORMAL, IL
    ZIP 61761
  • Facility Phone: 309 888-5380
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JACK MOODY
  • NPI Number: 1174512016
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0695938
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MCLEAN COUNTY NURSING HOME
Street 901 N MAIN ST
City NORMAL
State IL
ZIP 61761
Phone 309 888-5380
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 JACK MOODY

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