14D2212744 CLIA NUMBER - BROOKSTONE OF ALEDO

Laboratory Demographics

  • CLIA Code: 14D2212744
  • Facility Name: BROOKSTONE OF ALEDO
  • Facility Address: 405 SE 13TH AVE
    ALEDO, IL
    ZIP 61231
  • Facility Phone: 309 582-1132
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE VIPOND
  • NPI Number: 1437565124
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2212744
LAB Type Assisted Living Facility
Facility Name BROOKSTONE OF ALEDO
Street 405 SE 13TH AVE
City ALEDO
State IL
ZIP 61231
Phone 309 582-1132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Assisted Living Facility
Lab Director NICOLE VIPOND

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