14D2173578 CLIA NUMBER - JACKSONVILLE HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 14D2173578
  • Facility Name: JACKSONVILLE HEALTH & REHAB
  • Facility Address: 1517 W WALNUT
    JACKSONVILLE, IL
    ZIP 62650
  • Facility Phone: 217 243-6451
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BHAVIN SONANI
  • NPI Number: 1841599081
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2173578
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JACKSONVILLE HEALTH & REHAB
Street 1517 W WALNUT
City JACKSONVILLE
State IL
ZIP 62650
Phone 217 243-6451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BHAVIN SONANI

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