14D0870665 CLIA NUMBER - MEDINA NURSING CENTER

Laboratory Demographics

  • CLIA Code: 14D0870665
  • Facility Name: MEDINA NURSING CENTER
  • Facility Address: 402 S CENTER ST
    DURAND, IL
    ZIP 61024
  • Facility Phone: 815 248-2151
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HOLGEIR J. OKSNEVAD
  • NPI Number: 1386142776
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0870665
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDINA NURSING CENTER
Street 402 S CENTER ST
City DURAND
State IL
ZIP 61024
Phone 815 248-2151
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 HOLGEIR J. OKSNEVAD

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