14D0704424 CLIA NUMBER - COMMUNITY CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0704424
  • Facility Name: COMMUNITY CARE CENTER
  • Facility Address: 4314 S WABASH AVE
    CHICAGO, IL
    ZIP 60653
  • Facility Phone: 773 538-8300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SABRINA M. GARTH
  • NPI Number: 1629340690
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0704424
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMMUNITY CARE CENTER
Street 4314 S WABASH AVE
City CHICAGO
State IL
ZIP 60653
Phone 773 538-8300
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 SABRINA M. GARTH

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