14D0892820 CLIA NUMBER - COMMUNITY LIVING OPTIONS INC

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Field Name	Field Value
CLIA Number	14D0892820
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	COMMUNITY LIVING OPTIONS INC
Street	285 S FARNHAM
City	GALESBURG
State	IL
ZIP	61401
Phone	309 343-7777
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/6/2024
Certificate Expiration Date	10/5/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	CHRIS HELFRICH

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