14D2212744 CLIA NUMBER - BROOKSTONE OF ALEDO

Laboratory Demographics

CLIA Number: 14D2212744

Facility Name: BROOKSTONE OF ALEDO

Facility Address:
405 SE 13TH AVE
ALEDO, IL
ZIP 61231
Get Directions

Facility Phone Number: 309 582-1132

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1437565124

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024