14D0725625 CLIA NUMBER - HITZ MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 14D0725625
  • Facility Name: HITZ MEMORIAL HOME
  • Facility Address: 201 BELLE ST
    ALHAMBRA, IL
    ZIP 62001
  • Facility Phone: (618) 488-2355
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAKENZIE WILSON
  • NPI Number: 1780602722
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0725625
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HITZ MEMORIAL HOME
Street 201 BELLE ST
City ALHAMBRA
State IL
ZIP 62001
Phone 6184882355
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 MAKENZIE WILSON

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This page was last updated on: 5/18/2026