14D0667513 CLIA NUMBER - ELMHURST EXTENDED CARE CENTER SBNB INC D/B/A

Laboratory Demographics

  • CLIA Code: 14D0667513
  • Facility Name: ELMHURST EXTENDED CARE CENTER SBNB INC D/B/A
  • Facility Address: 200 E LAKE ST
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 630 516-5000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOVE DAVE
  • NPI Number: 1205266988
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0667513
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELMHURST EXTENDED CARE CENTER SBNB INC D/B/A
Street 200 E LAKE ST
City ELMHURST
State IL
ZIP 60126
Phone 630 516-5000
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 LOVE DAVE

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