14D2176798 CLIA NUMBER - LA BELLA OF ALTON ALTON NURSING & REHAB CENTER LLC

Laboratory Demographics

  • CLIA Code: 14D2176798
  • Facility Name: LA BELLA OF ALTON ALTON NURSING & REHAB CENTER LLC
  • Facility Address: 3490 HUMBERT RD
    ALTON, IL
    ZIP 62002
  • Facility Phone: 618 465-2626
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RIKEESHA WHITE
  • NPI Number: 1821531682
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2176798
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LA BELLA OF ALTON ALTON NURSING & REHAB CENTER LLC
Street 3490 HUMBERT RD
City ALTON
State IL
ZIP 62002
Phone 618 465-2626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RIKEESHA WHITE

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