14D1028444 CLIA NUMBER - ST CROIX HOSPICE - ROCKFORD

Laboratory Demographics

  • CLIA Code: 14D1028444
  • Facility Name: ST CROIX HOSPICE - ROCKFORD
  • Facility Address: 185 BUCKLEY DR - STE B
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 316-2700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KARA SEARS
  • NPI Number: 1659301539
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D1028444
LAB Type Hospice
Facility Name ST CROIX HOSPICE - ROCKFORD
Street 185 BUCKLEY DR - STE B
City ROCKFORD
State IL
ZIP 61107
Phone 815 316-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Hospice
Lab Director KARA SEARS

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