14D1083915 CLIA NUMBER - GALENA STAUSS SENIOR CARE COMMUNITY

Laboratory Demographics

  • CLIA Code: 14D1083915
  • Facility Name: GALENA STAUSS SENIOR CARE COMMUNITY
  • Facility Address: 215 SUMMIT
    GALENA, IL
    ZIP 61036
  • Facility Phone: 815 776-7255
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH GULLONE
  • NPI Number: 1487978227
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D1083915
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GALENA STAUSS SENIOR CARE COMMUNITY
Street 215 SUMMIT
City GALENA
State IL
ZIP 61036
Phone 815 776-7255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ELIZABETH GULLONE

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