14D0709540 CLIA NUMBER - BRIA OF ELMWOOD PARK LLC

Laboratory Demographics

  • CLIA Code: 14D0709540
  • Facility Name: BRIA OF ELMWOOD PARK LLC
  • Facility Address: 7733 W GRAND AVE
    ELMWOOD PARK, IL
    ZIP 60707
  • Facility Phone: 847 933-9200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PRENTICE DUANE DIXON
  • NPI Number: 1538401054
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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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
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 PRENTICE DUANE DIXON

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