14D2046529 CLIA NUMBER - ROSECRANCE WARE CENTER

Laboratory Demographics

  • CLIA Code: 14D2046529
  • Facility Name: ROSECRANCE WARE CENTER
  • Facility Address: 2704 N MAIN ST
    ROCKFORD, IL
    ZIP 61103
  • Facility Phone: 815 490-1616
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: AMANDA FLORES
  • NPI Number: 1407832611
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2046529
LAB Type Federally Qualified Health Center
Facility Name ROSECRANCE WARE CENTER
Street 2704 N MAIN ST
City ROCKFORD
State IL
ZIP 61103
Phone 815 490-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Federally Qualified Health Center
Lab Director AMANDA FLORES

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