14D2176806 CLIA NUMBER - RIVER CROSSING OF ROCKFORD ROCKFORD N H - L L C

Laboratory Demographics

  • CLIA Code: 14D2176806
  • Facility Name: RIVER CROSSING OF ROCKFORD ROCKFORD N H - L L C
  • Facility Address: 1660 S MULFORD RD
    ROCKFORD, IL
    ZIP 61108
  • Facility Phone: 815 397-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA BIRKS
  • NPI Number: 1700329240
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2176806
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER CROSSING OF ROCKFORD ROCKFORD N H - L L C
Street 1660 S MULFORD RD
City ROCKFORD
State IL
ZIP 61108
Phone 815 397-8700
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 PATRICIA BIRKS

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