14D2196444 CLIA NUMBER - HERITAGE WOODS OF OTTAWA

Laboratory Demographics

  • CLIA Code: 14D2196444
  • Facility Name: HERITAGE WOODS OF OTTAWA
  • Facility Address: 801 E ETNA RD
    OTTAWA, IL
    ZIP 61350
  • Facility Phone: 815 431-1400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PEGGY A. MORGAN
  • NPI Number: 1053599803
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2196444
LAB Type Assisted Living Facility
Facility Name HERITAGE WOODS OF OTTAWA
Street 801 E ETNA RD
City OTTAWA
State IL
ZIP 61350
Phone 815 431-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Assisted Living Facility
Lab Director PEGGY A. MORGAN

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