14D0419497 CLIA NUMBER - GENERATIONS AT APPLEWOOD

Laboratory Demographics

  • CLIA Code: 14D0419497
  • Facility Name: GENERATIONS AT APPLEWOOD
  • Facility Address: 21020 KOSTNER AVE
    MATTESON, IL
    ZIP 60443
  • Facility Phone: 708 747-1300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REGINA RUIZ LNHA
  • NPI Number: 1407988413
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0419497
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GENERATIONS AT APPLEWOOD
Street 21020 KOSTNER AVE
City MATTESON
State IL
ZIP 60443
Phone 708 747-1300
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 REGINA RUIZ LNHA

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