14D0421577 CLIA NUMBER - BRIAR PLACE NURSING HOME

Laboratory Demographics

  • CLIA Code: 14D0421577
  • Facility Name: BRIAR PLACE NURSING HOME
  • Facility Address: 6800 JOLIET RD
    INDIAN HEAD PARK, IL
    ZIP 60525
  • Facility Phone: 708 246-8500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARLENE M. LISKE
  • NPI Number: 1205342243
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0421577
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRIAR PLACE NURSING HOME
Street 6800 JOLIET RD
City INDIAN HEAD PARK
State IL
ZIP 60525
Phone 708 246-8500
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 MARLENE M. LISKE

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