14D0875636 CLIA NUMBER - WINNING WHEELS INC

Laboratory Demographics

  • CLIA Code: 14D0875636
  • Facility Name: WINNING WHEELS INC
  • Facility Address: 701 EAST THIRD STREET
    PROPHETSTOWN, IL
    ZIP 61277
  • Facility Phone: 815 537-5168
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER WALLGREN
  • NPI Number: 1275657629
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 14D0875636
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WINNING WHEELS INC
Street 701 EAST THIRD STREET
City PROPHETSTOWN
State IL
ZIP 61277
Phone 815 537-5168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER WALLGREN

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