14D0936860 CLIA NUMBER - ASCENSION LIVING RESURRECTION VILLAGE LIFE CENTER

Laboratory Demographics

  • CLIA Code: 14D0936860
  • Facility Name: ASCENSION LIVING RESURRECTION VILLAGE LIFE CENTER
  • Facility Address: 7370 W TALCOTT AVENUE
    CHICAGO, IL
    ZIP 60631
  • Facility Phone: 773 594-7400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL NABOLOTNY
  • NPI Number: 1730173881
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0936860
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASCENSION LIVING RESURRECTION VILLAGE LIFE CENTER
Street 7370 W TALCOTT AVENUE
City CHICAGO
State IL
ZIP 60631
Phone 773 594-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL NABOLOTNY

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