14D0862564 CLIA NUMBER - ALDEN TOWN MANOR REHABILITATION & HEALTH CARE CTR

Laboratory Demographics

  • CLIA Code: 14D0862564
  • Facility Name: ALDEN TOWN MANOR REHABILITATION & HEALTH CARE CTR
  • Facility Address: 6120 W OGDEN AVE
    CICERO, IL
    ZIP 60804
  • Facility Phone: 708 863-0500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHY COOK
  • NPI Number: 1386009090
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0862564
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALDEN TOWN MANOR REHABILITATION & HEALTH CARE CTR
Street 6120 W OGDEN AVE
City CICERO
State IL
ZIP 60804
Phone 708 863-0500
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 KATHY COOK

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