14D0980031 CLIA NUMBER - CHICAGO BEHAVIORAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0980031
  • Facility Name: CHICAGO BEHAVIORAL HOSPITAL
  • Facility Address: 555 WILSON LANE
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: 847 768-5430
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: NELIDA BELTRAN
  • NPI Number: 1083021877
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D0980031
LAB Type Hospital
Facility Name CHICAGO BEHAVIORAL HOSPITAL
Street 555 WILSON LANE
City DES PLAINES
State IL
ZIP 60016
Phone 847 768-5430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Hospital
Lab Director NELIDA BELTRAN

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