14D0662937 CLIA NUMBER - WOODBRIDGE NURSING PAVILION LTD

Laboratory Demographics

  • CLIA Code: 14D0662937
  • Facility Name: WOODBRIDGE NURSING PAVILION LTD
  • Facility Address: 2242 N KEDZIE BLVD
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: (773) 486-7700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA CORREA
  • NPI Number: 1821075474
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0662937
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WOODBRIDGE NURSING PAVILION LTD
Street 2242 N KEDZIE BLVD
City CHICAGO
State IL
ZIP 60647
Phone 7734867700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PATRICIA CORREA

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This page was last updated on: 5/18/2026