14D0900223 CLIA NUMBER - TWIN WILLOWS NURSING CENTER

Laboratory Demographics

  • CLIA Code: 14D0900223
  • Facility Name: TWIN WILLOWS NURSING CENTER
  • Facility Address: 1600 N BROADWAY PO BOX 370
    SALEM, IL
    ZIP 62881
  • Facility Phone: 618 548-0542
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFFERY KERR, MD
  • NPI Number: 1750313813
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0900223
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TWIN WILLOWS NURSING CENTER
Street 1600 N BROADWAY PO BOX 370
City SALEM
State IL
ZIP 62881
Phone 618 548-0542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFFERY KERR, MD

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