14D0668825 CLIA NUMBER - PARK RIDGE HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0668825
  • Facility Name: PARK RIDGE HEALTHCARE CENTER
  • Facility Address: 665 BUSSE HWY
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 825-5517
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN CHICOINE
  • NPI Number: 1477530426
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0668825
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK RIDGE HEALTHCARE CENTER
Street 665 BUSSE HWY
City PARK RIDGE
State IL
ZIP 60068
Phone 847 825-5517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRIAN CHICOINE

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