14D2205375 CLIA NUMBER - BOWMAN ESTATES

Laboratory Demographics

  • CLIA Code: 14D2205375
  • Facility Name: BOWMAN ESTATES
  • Facility Address: 1968 N BOWMAN AVE RD
    DANVILLE, IL
    ZIP 61832
  • Facility Phone: 217 431-4200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: THERESA HALL
  • NPI Number: 1578757605
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2205375
LAB Type Assisted Living Facility
Facility Name BOWMAN ESTATES
Street 1968 N BOWMAN AVE RD
City DANVILLE
State IL
ZIP 61832
Phone 217 431-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Assisted Living Facility
Lab Director THERESA HALL

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