14D0941414 CLIA NUMBER - ASCENSION LIVING CASA SCALABRINI VILLAGE

Laboratory Demographics

  • CLIA Code: 14D0941414
  • Facility Name: ASCENSION LIVING CASA SCALABRINI VILLAGE
  • Facility Address: 480 N WOLF RD
    NORTHLAKE, IL
    ZIP 60164
  • Facility Phone: 708 562-0040
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROSITA HARDER
  • NPI Number: 1023002318
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0941414
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASCENSION LIVING CASA SCALABRINI VILLAGE
Street 480 N WOLF RD
City NORTHLAKE
State IL
ZIP 60164
Phone 708 562-0040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROSITA HARDER

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