14D2201307 CLIA NUMBER - SHELTERED VILLAGE DORR-WOOD LTD

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CLIA Record

Field Name Field Value
CLIA Number 14D2201307
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name SHELTERED VILLAGE DORR-WOOD LTD
Street 600 BORDEN ST
City WOODSTOCK
State IL
ZIP 60098
Phone 815 338-6440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ROBERT NORRIS

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