14D2017021 CLIA NUMBER - PARKWAY GARDEN ASSITED LIVING

Laboratory Demographics

  • CLIA Code: 14D2017021
  • Facility Name: PARKWAY GARDEN ASSITED LIVING
  • Facility Address: 379 FOUNTAINS PARKWAY
    FAIRVIEW HEIGHTS, IL
    ZIP 62208
  • Facility Phone: (618) 622-9940
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LIBBY D. CARROLL-QUARLES
  • NPI Number: 1265744841
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2017021
LAB Type Assisted Living Facility
Facility Name PARKWAY GARDEN ASSITED LIVING
Street 379 FOUNTAINS PARKWAY
City FAIRVIEW HEIGHTS
State IL
ZIP 62208
Phone 6186229940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Assisted Living Facility
Lab Director LIBBY D. CARROLL-QUARLES

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This page was last updated on: 5/18/2026