14D0718666 CLIA NUMBER - WATERFRONT TERRACE

Laboratory Demographics

  • CLIA Code: 14D0718666
  • Facility Name: WATERFRONT TERRACE
  • Facility Address: 7750 S SOUTHSHORE DRIVE
    CHICAGO, IL
    ZIP 60649
  • Facility Phone: 773 731-4200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIANIA KUFTA
  • NPI Number: 1285611830
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0718666
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WATERFRONT TERRACE
Street 7750 S SOUTHSHORE DRIVE
City CHICAGO
State IL
ZIP 60649
Phone 773 731-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DIANIA KUFTA

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