14D0896553 CLIA NUMBER - CASS COUNTY SENIOR LIVING & REHABILITATION LLC

Laboratory Demographics

  • CLIA Code: 14D0896553
  • Facility Name: CASS COUNTY SENIOR LIVING & REHABILITATION LLC
  • Facility Address: 530 E BEARDSTOWN ST
    VIRGINIA, IL
    ZIP 62691
  • Facility Phone: 618 294-8696
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT STOUT
  • NPI Number: 1265465652
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0896553
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASS COUNTY SENIOR LIVING & REHABILITATION LLC
Street 530 E BEARDSTOWN ST
City VIRGINIA
State IL
ZIP 62691
Phone 618 294-8696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTT STOUT

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