14D0670136 CLIA NUMBER - LEE MANOR HEALTH CARE RESIDENCE

Laboratory Demographics

  • CLIA Code: 14D0670136
  • Facility Name: LEE MANOR HEALTH CARE RESIDENCE
  • Facility Address: 1301 LEE ST
    DES PLAINES, IL
    ZIP 60018
  • Facility Phone: 847 635-4000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHERINE KATSOYANNIS M D
  • NPI Number: 1043666738
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0670136
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEE MANOR HEALTH CARE RESIDENCE
Street 1301 LEE ST
City DES PLAINES
State IL
ZIP 60018
Phone 847 635-4000
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 KATHERINE KATSOYANNIS M D

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