14D2198306 CLIA NUMBER - CASTLE MANOR

Laboratory Demographics

  • CLIA Code: 14D2198306
  • Facility Name: CASTLE MANOR
  • Facility Address: 1550 CASTLE MANOR DR
    LINCOLN, IL
    ZIP 62656
  • Facility Phone: 217 732-2310
  • Facility Type: Other - SUPPORTIVE LIVING FACILIT
  • Facility Type: Waiver
  • Lab Director: JEREMY HARBIN
  • NPI Number: 1821317041
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2198306
LAB Type Other - SUPPORTIVE LIVING FACILIT
Facility Name CASTLE MANOR
Street 1550 CASTLE MANOR DR
City LINCOLN
State IL
ZIP 62656
Phone 217 732-2310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Other - SUPPORTIVE LIVING FACILIT
Lab Director JEREMY HARBIN

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This page was last updated on: 3/20/2025