14D0878179 CLIA NUMBER - EL PASO HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0878179
  • Facility Name: EL PASO HEALTH CARE CENTER
  • Facility Address: 850 E SECOND ST
    EL PASO, IL
    ZIP 61738
  • Facility Phone: 309 527-2700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEIDI L. LOCK
  • NPI Number: 1568562858
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0878179
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EL PASO HEALTH CARE CENTER
Street 850 E SECOND ST
City EL PASO
State IL
ZIP 61738
Phone 309 527-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEIDI L. LOCK

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