14D2209195 CLIA NUMBER - TIMBERLAKE ESTATES S L F, L P

Laboratory Demographics

  • CLIA Code: 14D2209195
  • Facility Name: TIMBERLAKE ESTATES S L F, L P
  • Facility Address: 2521 EMPOWERMENT RD
    SPRINGFIELD, IL
    ZIP 62703
  • Facility Phone: 217 321-2100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOY KIRKWOOD
  • NPI Number: 1497998918
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2209195
LAB Type Assisted Living Facility
Facility Name TIMBERLAKE ESTATES S L F, L P
Street 2521 EMPOWERMENT RD
City SPRINGFIELD
State IL
ZIP 62703
Phone 217 321-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Assisted Living Facility
Lab Director JOY KIRKWOOD

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