14D2171734 CLIA NUMBER - TRANSFORMATIONS CENTER FOR REJUVENATION

Laboratory Demographics

  • CLIA Code: 14D2171734
  • Facility Name: TRANSFORMATIONS CENTER FOR REJUVENATION
  • Facility Address: 5995 SPRING CREEK RD
    ROCKFORD, IL
    ZIP 61114
  • Facility Phone: 815 977-4403
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANDON PRYOR M D
  • NPI Number: 1093152118
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2171734
LAB Type Physician Office
Facility Name TRANSFORMATIONS CENTER FOR REJUVENATION
Street 5995 SPRING CREEK RD
City ROCKFORD
State IL
ZIP 61114
Phone 815 977-4403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director LANDON PRYOR M D

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