14D2091066 CLIA NUMBER - REGENCY CARE

Laboratory Demographics

  • CLIA Code: 14D2091066
  • Facility Name: REGENCY CARE
  • Facility Address: 2120 W WASHINGTON
    SPRINGFIELD, IL
    ZIP 62702
  • Facility Phone: 217 793-4880
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHANA LISTER
  • NPI Number: 1609223254
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2091066
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name REGENCY CARE
Street 2120 W WASHINGTON
City SPRINGFIELD
State IL
ZIP 62702
Phone 217 793-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHANA LISTER

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