14D0965320 CLIA NUMBER - ASCENSION LIVING HERITAGE VILLAGE

Laboratory Demographics

  • CLIA Code: 14D0965320
  • Facility Name: ASCENSION LIVING HERITAGE VILLAGE
  • Facility Address: 901 N ENTRANCE AVE
    KANKAKEE, IL
    ZIP 60901
  • Facility Phone: 815 939-4506
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA THOMPSON
  • NPI Number: 1477549509
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0965320
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ASCENSION LIVING HERITAGE VILLAGE
Street 901 N ENTRANCE AVE
City KANKAKEE
State IL
ZIP 60901
Phone 815 939-4506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PATRICIA THOMPSON

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