14D2018999 CLIA NUMBER - SILVER FOXES SENIOR LIVING & REHABILITATION LLC

Laboratory Demographics

  • CLIA Code: 14D2018999
  • Facility Name: SILVER FOXES SENIOR LIVING & REHABILITATION LLC
  • Facility Address: 609 S MARSHALL AVE
    MCLEANSBORO, IL
    ZIP 62859
  • Facility Phone: 618 643-2325
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT STOUT
  • NPI Number: 1851366835
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2018999
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SILVER FOXES SENIOR LIVING & REHABILITATION LLC
Street 609 S MARSHALL AVE
City MCLEANSBORO
State IL
ZIP 62859
Phone 618 643-2325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTT STOUT

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