14D2192544 CLIA NUMBER - COURTYARD ESTATES OF KEWANEE

Laboratory Demographics

  • CLIA Code: 14D2192544
  • Facility Name: COURTYARD ESTATES OF KEWANEE
  • Facility Address: 141 JUNIOR AVE
    KEWANEE, IL
    ZIP 61443
  • Facility Phone: 309 853-2460
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LINDSEY L. DANA
  • NPI Number: 1215061346
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2192544
LAB Type Assisted Living Facility
Facility Name COURTYARD ESTATES OF KEWANEE
Street 141 JUNIOR AVE
City KEWANEE
State IL
ZIP 61443
Phone 309 853-2460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Assisted Living Facility
Lab Director LINDSEY L. DANA

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