14D1085730 CLIA NUMBER - ROYAL OAKS CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D1085730
  • Facility Name: ROYAL OAKS CARE CENTER
  • Facility Address: 605 E CHURCH ST
    KEWANEE, IL
    ZIP 61443
  • Facility Phone: 309 852-3389
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. WALLGREN
  • NPI Number: 1477704617
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D1085730
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROYAL OAKS CARE CENTER
Street 605 E CHURCH ST
City KEWANEE
State IL
ZIP 61443
Phone 309 852-3389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER R. WALLGREN

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This page was last updated on: 6/4/2025