14D0718714 CLIA NUMBER - PRAIRIE OASIS

Laboratory Demographics

  • CLIA Code: 14D0718714
  • Facility Name: PRAIRIE OASIS
  • Facility Address: 16000 S WABASH
    SOUTH HOLLAND, IL
    ZIP 60473
  • Facility Phone: 708 339-0600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE AMICO
  • NPI Number: 1073021283
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0718714
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRAIRIE OASIS
Street 16000 S WABASH
City SOUTH HOLLAND
State IL
ZIP 60473
Phone 708 339-0600
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 JULIE AMICO

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