14D0885882 CLIA NUMBER - WABASH SENIOR LIVING & REHABILITATION LLC

Laboratory Demographics

  • CLIA Code: 14D0885882
  • Facility Name: WABASH SENIOR LIVING & REHABILITATION LLC
  • Facility Address: 216 COLLEGE BLVD
    CARMI, IL
    ZIP 62821
  • Facility Phone: 618 826-3210
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT STOUT
  • NPI Number: 1720005697
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0885882
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WABASH SENIOR LIVING & REHABILITATION LLC
Street 216 COLLEGE BLVD
City CARMI
State IL
ZIP 62821
Phone 618 826-3210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTT STOUT

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