14D0874368 CLIA NUMBER - FRIENDSHIP MANOR INC

Laboratory Demographics

  • CLIA Code: 14D0874368
  • Facility Name: FRIENDSHIP MANOR INC
  • Facility Address: 1209 21ST AVE
    ROCK ISLAND, IL
    ZIP 61201
  • Facility Phone: (309) 794-4106
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TED PAPPAS JR
  • NPI Number: 1699852491
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0874368
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FRIENDSHIP MANOR INC
Street 1209 21ST AVE
City ROCK ISLAND
State IL
ZIP 61201
Phone 3097944106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TED PAPPAS JR

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This page was last updated on: 5/18/2026