14D2103138 CLIA NUMBER - CRIMSON POINTE

Laboratory Demographics

  • CLIA Code: 14D2103138
  • Facility Name: CRIMSON POINTE
  • Facility Address: 7130 CRIMSON POINTE
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 398-7792
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VICKIE B. KASTEN
  • NPI Number: 1194013367
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2103138
LAB Type Assisted Living Facility
Facility Name CRIMSON POINTE
Street 7130 CRIMSON POINTE
City ROCKFORD
State IL
ZIP 61107
Phone 815 398-7792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Assisted Living Facility
Lab Director VICKIE B. KASTEN

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