14D2176808 CLIA NUMBER - RIVER CROSSING OF PEORIA PEORIA N H - L L C

Laboratory Demographics

  • CLIA Code: 14D2176808
  • Facility Name: RIVER CROSSING OF PEORIA PEORIA N H - L L C
  • Facility Address: 1500 W NORTHMOOR RD
    PEORIA, IL
    ZIP 61614
  • Facility Phone: 309 691-2200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHRYN KNOTT
  • NPI Number: 1265975700
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2176808
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVER CROSSING OF PEORIA PEORIA N H - L L C
Street 1500 W NORTHMOOR RD
City PEORIA
State IL
ZIP 61614
Phone 309 691-2200
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 KATHRYN KNOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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