14D2025669 CLIA NUMBER - AVENUES AT ARCADIA SPRINGFIELD

Laboratory Demographics

  • CLIA Code: 14D2025669
  • Facility Name: AVENUES AT ARCADIA SPRINGFIELD
  • Facility Address: 525 SOUTH MARTIN LUTHER KING DRIVE
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: (217) 789-1680
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TENESSA CARR
  • NPI Number: 1417614397
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2025669
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVENUES AT ARCADIA SPRINGFIELD
Street 525 SOUTH MARTIN LUTHER KING DRIVE
City SPRINGFIELD
State IL
ZIP 62703
Phone 2177891680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TENESSA CARR

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This page was last updated on: 6/29/2026