14D0999687 CLIA NUMBER - MARKLUND WASMOND CENTER

Laboratory Demographics

  • CLIA Code: 14D0999687
  • Facility Name: MARKLUND WASMOND CENTER
  • Facility Address: 1435 SUMMIT STREET
    ELGIN, IL
    ZIP 60120
  • Facility Phone: 847 741-1609
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SHELLEY C. LEWIS
  • NPI Number: 1982153425
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0999687
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MARKLUND WASMOND CENTER
Street 1435 SUMMIT STREET
City ELGIN
State IL
ZIP 60120
Phone 847 741-1609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHELLEY C. LEWIS

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