14D0881476 CLIA NUMBER - CENTER HOME FOR HISPANIC ELDERLY

Laboratory Demographics

  • CLIA Code: 14D0881476
  • Facility Name: CENTER HOME FOR HISPANIC ELDERLY
  • Facility Address: 1401 N CALIFORNIA AVE
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 782-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CATALINA SOTO, LNHA
  • NPI Number: 1134119100
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0881476
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTER HOME FOR HISPANIC ELDERLY
Street 1401 N CALIFORNIA AVE
City CHICAGO
State IL
ZIP 60622
Phone 773 782-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CATALINA SOTO, LNHA

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