14D0674423 CLIA NUMBER - WHITEHALL NORTH

Laboratory Demographics

  • CLIA Code: 14D0674423
  • Facility Name: WHITEHALL NORTH
  • Facility Address: 300 WAUKEGAN RD
    DEERFIELD, IL
    ZIP 60015
  • Facility Phone: 847 945-4600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHY LA PORTE
  • NPI Number: 1801991161
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0674423
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITEHALL NORTH
Street 300 WAUKEGAN RD
City DEERFIELD
State IL
ZIP 60015
Phone 847 945-4600
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 KATHY LA PORTE

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