14D0415221 CLIA NUMBER - BELLA TERRA BLOOMINGDALE

Laboratory Demographics

  • CLIA Code: 14D0415221
  • Facility Name: BELLA TERRA BLOOMINGDALE
  • Facility Address: 165 S BLOOMINGDALE RD
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 980-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTINE SANCHEZ
  • NPI Number: 1184207441
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0415221
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BELLA TERRA BLOOMINGDALE
Street 165 S BLOOMINGDALE RD
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 980-8700
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 KRISTINE SANCHEZ

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