14D0417626 CLIA NUMBER - PRESBYTERIAN HOMES - WESTMINSTER PLACE

Laboratory Demographics

  • CLIA Code: 14D0417626
  • Facility Name: PRESBYTERIAN HOMES - WESTMINSTER PLACE
  • Facility Address: 3200 GRANT STREET
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: (847) 866-1650
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Microscopy
  • Lab Director: PETER L. JAGGARD
  • NPI Number: 1033179411
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0417626
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRESBYTERIAN HOMES - WESTMINSTER PLACE
Street 3200 GRANT STREET
City EVANSTON
State IL
ZIP 60201
Phone 8478661650
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PETER L. JAGGARD

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This page was last updated on: 5/18/2026