14D2199044 CLIA NUMBER - GATEWAY AT RIVER CITY PEORIA SLF

Laboratory Demographics

  • CLIA Code: 14D2199044
  • Facility Name: GATEWAY AT RIVER CITY PEORIA SLF
  • Facility Address: 518 ROMEO B GARRETT AVE
    PEORIA, IL
    ZIP 61605
  • Facility Phone: 309 673-3115
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAKOTA C. DEAL
  • NPI Number: 1891241022
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2199044
LAB Type Assisted Living Facility
Facility Name GATEWAY AT RIVER CITY PEORIA SLF
Street 518 ROMEO B GARRETT AVE
City PEORIA
State IL
ZIP 61605
Phone 309 673-3115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Assisted Living Facility
Lab Director DAKOTA C. DEAL

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