14D2197582 CLIA NUMBER - HERITAGE WOODS OF FLORA

Laboratory Demographics

  • CLIA Code: 14D2197582
  • Facility Name: HERITAGE WOODS OF FLORA
  • Facility Address: 1003 W 4TH ST
    FLORA, IL
    ZIP 62839
  • Facility Phone: 618 662-4599
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LUCAS G. SIGRIST
  • NPI Number: 1669672465
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2197582
LAB Type Assisted Living Facility
Facility Name HERITAGE WOODS OF FLORA
Street 1003 W 4TH ST
City FLORA
State IL
ZIP 62839
Phone 618 662-4599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Assisted Living Facility
Lab Director LUCAS G. SIGRIST

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