14D0912877 CLIA NUMBER - ST PATRICK'S RESIDENCE

Laboratory Demographics

  • CLIA Code: 14D0912877
  • Facility Name: ST PATRICK'S RESIDENCE
  • Facility Address: 1400 BROOKDALE ROAD
    NAPERVILLE, IL
    ZIP 60563
  • Facility Phone: 630 416-6565
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARILYN DALEY
  • NPI Number: 1811982507
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0912877
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST PATRICK'S RESIDENCE
Street 1400 BROOKDALE ROAD
City NAPERVILLE
State IL
ZIP 60563
Phone 630 416-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARILYN DALEY

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