14D0669836 CLIA NUMBER - AMBASSADOR NURSING & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 14D0669836
  • Facility Name: AMBASSADOR NURSING & REHAB CENTER
  • Facility Address: 4900 N BERNARD ST
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 583-7130
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AARON M. COHEN
  • NPI Number: 1093706277
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0669836
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AMBASSADOR NURSING & REHAB CENTER
Street 4900 N BERNARD ST
City CHICAGO
State IL
ZIP 60625
Phone 773 583-7130
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 AARON M. COHEN

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