14D0419521 CLIA NUMBER - CRESTWOOD REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 14D0419521
  • Facility Name: CRESTWOOD REHABILITATION CENTER
  • Facility Address: 14255 S CICERO AVE
    CRESTWOOD, IL
    ZIP 60445
  • Facility Phone: 708 371-0400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ZEV BRODY
  • NPI Number: 1013993237
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0419521
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTWOOD REHABILITATION CENTER
Street 14255 S CICERO AVE
City CRESTWOOD
State IL
ZIP 60445
Phone 708 371-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ZEV BRODY

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