14D0417641 CLIA NUMBER - THREE CROWNS PARK

Laboratory Demographics

  • CLIA Code: 14D0417641
  • Facility Name: THREE CROWNS PARK
  • Facility Address: 2323 MCDANIEL AVENUE
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: 847 328-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN J. MORSE
  • NPI Number: 1205291457
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0417641
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THREE CROWNS PARK
Street 2323 MCDANIEL AVENUE
City EVANSTON
State IL
ZIP 60201
Phone 847 328-8700
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 SUSAN J. MORSE

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