14D2326431 CLIA NUMBER - GOLDWATER CARE CLINTON

Laboratory Demographics

  • CLIA Code: 14D2326431
  • Facility Name: GOLDWATER CARE CLINTON
  • Facility Address: 1 PARK LANE WEST
    CLINTON, IL
    ZIP 61727
  • Facility Phone: 217 935-8500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINE BANKS
  • NPI Number: 1376352518
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2326431
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOLDWATER CARE CLINTON
Street 1 PARK LANE WEST
City CLINTON
State IL
ZIP 61727
Phone 217 935-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTINE BANKS

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