14D0874611 CLIA NUMBER - HILLCREST HOME

Laboratory Demographics

  • CLIA Code: 14D0874611
  • Facility Name: HILLCREST HOME
  • Facility Address: 14688 IL HWY 82
    GENESEO, IL
    ZIP 61254
  • Facility Phone: 309 944-2147
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS STALEY
  • NPI Number: 1942750518
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0874611
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLCREST HOME
Street 14688 IL HWY 82
City GENESEO
State IL
ZIP 61254
Phone 309 944-2147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THOMAS STALEY

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