14D0412910 CLIA NUMBER - CLARIDGE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0412910
  • Facility Name: CLARIDGE HEALTHCARE CENTER
  • Facility Address: 700 JENKISSON AVE
    LAKE BLUFF, IL
    ZIP 60044
  • Facility Phone: 847 295-3900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ARLEEN MENCHAVEZ-SIAP, MA
  • NPI Number: 1295711471
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0412910
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLARIDGE HEALTHCARE CENTER
Street 700 JENKISSON AVE
City LAKE BLUFF
State IL
ZIP 60044
Phone 847 295-3900
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 ARLEEN MENCHAVEZ-SIAP, MA

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