14D0412301 CLIA NUMBER - ASCENSION LIVING NAZARETHVILLE PLACE

Laboratory Demographics

  • CLIA Code: 14D0412301
  • Facility Name: ASCENSION LIVING NAZARETHVILLE PLACE
  • Facility Address: 300 N RIVER RD
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: 847 297-5900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MEHUL SHAH
  • NPI Number: 1538252184
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0412301
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASCENSION LIVING NAZARETHVILLE PLACE
Street 300 N RIVER RD
City DES PLAINES
State IL
ZIP 60016
Phone 847 297-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MEHUL SHAH

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