14D2202453 CLIA NUMBER - MILESTONE, INC

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CLIA Record

Field Name Field Value
CLIA Number 14D2202453
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MILESTONE, INC
Street 2662 ELMWOOD RD
City ROCKFORD
State IL
ZIP 61103
Phone 8156392733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director WILLIAM C. GRAHN

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This page was last updated on: 5/18/2026