14D0935010 CLIA NUMBER - PARK LAWN SCHOOL & ACTIVITY CENTER

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Field Name	Field Value
CLIA Number	14D0935010
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	PARK LAWN SCHOOL & ACTIVITY CENTER
Street	5831 WEST 115TH STREET
City	ALSIP
State	IL
ZIP	60803
Phone	708 396-1117
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/20/2025
Certificate Expiration Date	10/19/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	AMY M. PITT

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