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14D0413315 CLIA NUMBER - ALDEN TERRACE OF MCHENRY REHABILITATION AND HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 14D0413315

Facility Name: ALDEN TERRACE OF MCHENRY REHABILITATION AND HEALTH CARE CENTER

Facility Address:
803 ROYAL DR
MCHENRY, IL
ZIP 60050
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Facility Phone Number: 815 344-2600

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1942665765

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 14D0413315
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALDEN TERRACE OF MCHENRY REHABILITATION AND HEALTH CARE CENTER
Street 803 ROYAL DR
City MCHENRY
State IL
ZIP 60050
Phone 815 344-2600
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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