14D0416668 CLIA NUMBER - SOUTH ELGIN LIVING & REHAB CENTER LLC

Laboratory Demographics

  • CLIA Code: 14D0416668
  • Facility Name: SOUTH ELGIN LIVING & REHAB CENTER LLC
  • Facility Address: 746 W SPRING ST
    SOUTH ELGIN, IL
    ZIP 60177
  • Facility Phone: 847 697-0565
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AHARON Z. DIENA
  • NPI Number: 1730112939
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0416668
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH ELGIN LIVING & REHAB CENTER LLC
Street 746 W SPRING ST
City SOUTH ELGIN
State IL
ZIP 60177
Phone 847 697-0565
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 AHARON Z. DIENA

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