14D0670165 CLIA NUMBER - WEST SUBURBAN NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 14D0670165
  • Facility Name: WEST SUBURBAN NURSING & REHABILITATION CENTER
  • Facility Address: 311 EDGEWATER DRIVE
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 894-7400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUVENAL A. GONZALEZ
  • NPI Number: 1952419087
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0670165
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEST SUBURBAN NURSING & REHABILITATION CENTER
Street 311 EDGEWATER DRIVE
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 894-7400
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 JUVENAL A. GONZALEZ

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