14D2193101 CLIA NUMBER - MARIGOLD REHABILITATION & HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D2193101
  • Facility Name: MARIGOLD REHABILITATION & HEALTH CARE CENTER
  • Facility Address: 275 E CARL SANDBURG DR
    GALESBURG, IL
    ZIP 61401
  • Facility Phone: 309 344-1151
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SASHA M. WILSON
  • NPI Number: 1386283216
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2193101
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MARIGOLD REHABILITATION & HEALTH CARE CENTER
Street 275 E CARL SANDBURG DR
City GALESBURG
State IL
ZIP 61401
Phone 309 344-1151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SASHA M. WILSON

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