14D2192574 CLIA NUMBER - COURTYARD ESTATES OF KNOXVILLE

Laboratory Demographics

  • CLIA Code: 14D2192574
  • Facility Name: COURTYARD ESTATES OF KNOXVILLE
  • Facility Address: 415 E MAIN ST
    KNOXVILLE, IL
    ZIP 61448
  • Facility Phone: 309 289-2660
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOAN M. MUNSON
  • NPI Number: 1447616347
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2192574
LAB Type Assisted Living Facility
Facility Name COURTYARD ESTATES OF KNOXVILLE
Street 415 E MAIN ST
City KNOXVILLE
State IL
ZIP 61448
Phone 309 289-2660
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 JOAN M. MUNSON

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