14D2192578 CLIA NUMBER - COURTYARD VILLAGE OF KEWANEE

Laboratory Demographics

  • CLIA Code: 14D2192578
  • Facility Name: COURTYARD VILLAGE OF KEWANEE
  • Facility Address: 860 SUNSET DR
    KEWANEE, IL
    ZIP 61443
  • Facility Phone: 309 853-4044
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHAWNA CASSIDY
  • NPI Number: 1740362979
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2192578
LAB Type Assisted Living Facility
Facility Name COURTYARD VILLAGE OF KEWANEE
Street 860 SUNSET DR
City KEWANEE
State IL
ZIP 61443
Phone 309 853-4044
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 SHAWNA CASSIDY

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