14D0911773 CLIA NUMBER - NORTHWESTERN ILLINOIS HOME HEALTH ILLINOIS L I V, L L C D/B/A

Laboratory Demographics

  • CLIA Code: 14D0911773
  • Facility Name: NORTHWESTERN ILLINOIS HOME HEALTH ILLINOIS L I V, L L C D/B/A
  • Facility Address: 7017 JOHN DEERE PKWY - UNIT 2A
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 309 623-4022
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROBERT WRIGHT
  • NPI Number: 1477979078
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0911773
LAB Type Home Health Agency
Facility Name NORTHWESTERN ILLINOIS HOME HEALTH ILLINOIS L I V, L L C D/B/A
Street 7017 JOHN DEERE PKWY - UNIT 2A
City MOLINE
State IL
ZIP 61265
Phone 309 623-4022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Home Health Agency
Lab Director ROBERT WRIGHT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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