14D2200347 CLIA NUMBER - HERITAGE WOODS OF BELVIDERE

Laboratory Demographics

  • CLIA Code: 14D2200347
  • Facility Name: HERITAGE WOODS OF BELVIDERE
  • Facility Address: 4730 SQUAW PRAIRIE RD
    BELVIDERE, IL
    ZIP 61008
  • Facility Phone: 815 544-9495
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE SLACK
  • NPI Number: 1144652363
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2200347
LAB Type Assisted Living Facility
Facility Name HERITAGE WOODS OF BELVIDERE
Street 4730 SQUAW PRAIRIE RD
City BELVIDERE
State IL
ZIP 61008
Phone 815 544-9495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director MICHELLE SLACK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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