14D2192579 CLIA NUMBER - SIMPLE BLESSINGS

Laboratory Demographics

  • CLIA Code: 14D2192579
  • Facility Name: SIMPLE BLESSINGS
  • Facility Address: 203 E MONROE
    CASEY, IL
    ZIP 62420
  • Facility Phone: 217 932-2603
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA K. WORTHEY
  • NPI Number: 1932209160
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2192579
LAB Type Assisted Living Facility
Facility Name SIMPLE BLESSINGS
Street 203 E MONROE
City CASEY
State IL
ZIP 62420
Phone 217 932-2603
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 BRENDA K. WORTHEY

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