14D0422046 CLIA NUMBER - SANDWICH LIVING & REHAB CENTER LLC

Laboratory Demographics

  • CLIA Code: 14D0422046
  • Facility Name: SANDWICH LIVING & REHAB CENTER LLC
  • Facility Address: 902 E ARNOLD AVE
    SANDWICH, IL
    ZIP 60548
  • Facility Phone: 815 786-8409
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AHARON Z. DIENA
  • NPI Number: 1477579233
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0422046
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SANDWICH LIVING & REHAB CENTER LLC
Street 902 E ARNOLD AVE
City SANDWICH
State IL
ZIP 60548
Phone 815 786-8409
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 AHARON Z. DIENA

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