14D0709540 CLIA NUMBER - BRIA OF ELMWOOD PARK LLC

Laboratory Demographics

CLIA Number: 14D0709540

Facility Name: BRIA OF ELMWOOD PARK LLC

Facility Address:
7733 W GRAND AVE
ELMWOOD PARK, IL
ZIP 60707
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Facility Phone Number: 847 933-9200

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1538401054

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	14D0709540
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	BRIA OF ELMWOOD PARK LLC
Street	7733 W GRAND AVE
City	ELMWOOD PARK
State	IL
ZIP	60707
Phone	847 933-9200
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