14D0896614 CLIA NUMBER - MADO HEALTHCARE - UPTOWN

Laboratory Demographics

  • CLIA Code: 14D0896614
  • Facility Name: MADO HEALTHCARE - UPTOWN
  • Facility Address: 4621 N RACINE AVE
    CHICAGO, IL
    ZIP 60640
  • Facility Phone: 773 784-2300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RUTH KENNY
  • NPI Number: 1871580126
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0896614
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MADO HEALTHCARE - UPTOWN
Street 4621 N RACINE AVE
City CHICAGO
State IL
ZIP 60640
Phone 773 784-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RUTH KENNY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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