14D0711098 CLIA NUMBER - BEACON HILL LIFESPACE COMM INC

Laboratory Demographics

  • CLIA Code: 14D0711098
  • Facility Name: BEACON HILL LIFESPACE COMM INC
  • Facility Address: 2400 S FINLEY RD
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 691 630-4088
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN H. JOHNSON
  • NPI Number: 1750328522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0711098
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEACON HILL LIFESPACE COMM INC
Street 2400 S FINLEY RD
City LOMBARD
State IL
ZIP 60148
Phone 691 630-4088
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 STEPHEN H. JOHNSON

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