14D1048026 CLIA NUMBER - KREIDER SERVICES, INC

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Field Name	Field Value
CLIA Number	14D1048026
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	KREIDER SERVICES, INC
Street	500 ANCHOR RD
City	DIXON
State	IL
ZIP	61021
Phone	815 288-6691
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/21/2023
Certificate Expiration Date	11/20/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	SELENA A. MULNIX

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