14D2322946 CLIA NUMBER - ARC AT SANGAMON VALLEY

Laboratory Demographics

  • CLIA Code: 14D2322946
  • Facility Name: ARC AT SANGAMON VALLEY
  • Facility Address: 3400 W WASHINGTON ST
    SPRINGFIELD, IL
    ZIP 62711
  • Facility Phone: 217 787-9600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PHIL BACHMAN
  • NPI Number: 1205647575
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2322946
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARC AT SANGAMON VALLEY
Street 3400 W WASHINGTON ST
City SPRINGFIELD
State IL
ZIP 62711
Phone 217 787-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PHIL BACHMAN

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