14D0880653 CLIA NUMBER - BARRY HEALTHCARE & SENIOR LIVING, LLC

Laboratory Demographics

  • CLIA Code: 14D0880653
  • Facility Name: BARRY HEALTHCARE & SENIOR LIVING, LLC
  • Facility Address: 1313 PRATT ST
    BARRY, IL
    ZIP 62312
  • Facility Phone: 217 335-2326
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIELLE L. MILLER
  • NPI Number: 1548462005
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D0880653
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BARRY HEALTHCARE & SENIOR LIVING, LLC
Street 1313 PRATT ST
City BARRY
State IL
ZIP 62312
Phone 217 335-2326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DANIELLE L. MILLER

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