14D2194931 CLIA NUMBER - BROOKSTONE ESTATES OF EFFINGHAM

Laboratory Demographics

  • CLIA Code: 14D2194931
  • Facility Name: BROOKSTONE ESTATES OF EFFINGHAM
  • Facility Address: 1101 N MAPLE ST
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 347-5871
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TEAL N. NIEBRUGGE
  • NPI Number: 1295123545
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2194931
LAB Type Assisted Living Facility
Facility Name BROOKSTONE ESTATES OF EFFINGHAM
Street 1101 N MAPLE ST
City EFFINGHAM
State IL
ZIP 62401
Phone 217 347-5871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Assisted Living Facility
Lab Director TEAL N. NIEBRUGGE

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