14D0706139 CLIA NUMBER - ALDEN-VALLEY RIDGE REHAB & HLTHCARE CTR

Laboratory Demographics

CLIA Number: 14D0706139

Facility Name: ALDEN-VALLEY RIDGE REHAB & HLTHCARE CTR

Facility Address:
275 E ARMY TRAIL ROAD
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 630 893-9616

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1659736353

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D0706139
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ALDEN-VALLEY RIDGE REHAB & HLTHCARE CTR
Street	275 E ARMY TRAIL ROAD
City	BLOOMINGDALE
State	IL
ZIP	60108
Phone	630 893-9616
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024