14D2170828 CLIA NUMBER - OAKVIEW NURSING & REHABILITATION, L L C

Laboratory Demographics

  • CLIA Code: 14D2170828
  • Facility Name: OAKVIEW NURSING & REHABILITATION, L L C
  • Facility Address: 1320 W 9TH ST
    MT CARMELL, IL
    ZIP 62863
  • Facility Phone: 618 264-4337
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT E. STOUT
  • NPI Number: 1649743774
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2170828
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAKVIEW NURSING & REHABILITATION, L L C
Street 1320 W 9TH ST
City MT CARMELL
State IL
ZIP 62863
Phone 618 264-4337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTT E. STOUT

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