14D0723340 CLIA NUMBER - CHARLESTON REHAB & HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0723340
  • Facility Name: CHARLESTON REHAB & HEALTH CARE CENTER
  • Facility Address: 716 18TH ST
    CHARLESTON, IL
    ZIP 61920
  • Facility Phone: 217 345-7054
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUZANNE A. NEWBY
  • NPI Number: 1245879162
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0723340
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHARLESTON REHAB & HEALTH CARE CENTER
Street 716 18TH ST
City CHARLESTON
State IL
ZIP 61920
Phone 217 345-7054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUZANNE A. NEWBY

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