14D2198700 CLIA NUMBER - BROOKSTONE ESTATES OF RANTOUL

Laboratory Demographics

  • CLIA Code: 14D2198700
  • Facility Name: BROOKSTONE ESTATES OF RANTOUL
  • Facility Address: 300 TWIN LAKES DR
    RANTOUL, IL
    ZIP 61866
  • Facility Phone: 217 892-5871
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY DENAULT
  • NPI Number: 1396133658
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2198700
LAB Type Assisted Living Facility
Facility Name BROOKSTONE ESTATES OF RANTOUL
Street 300 TWIN LAKES DR
City RANTOUL
State IL
ZIP 61866
Phone 217 892-5871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY DENAULT

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