14D2177662 CLIA NUMBER - POINTE AT PONTIAC, THE

Laboratory Demographics

CLIA Number: 14D2177662

Facility Name: POINTE AT PONTIAC, THE

Facility Address:
120 N DEERFIELD RD
PONTIAC, IL
ZIP 61764
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Facility Phone Number: 815 844-6300

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1275076028

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	14D2177662
LAB Type	Assisted Living Facility
Facility Name	POINTE AT PONTIAC, THE
Street	120 N DEERFIELD RD
City	PONTIAC
State	IL
ZIP	61764
Phone	815 844-6300
CertificateType	4
CertificateEffectiveDate	1/15/2024
CertificateExpirationDate	1/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024