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14D0999873 CLIA NUMBER - ALDEN OF WATERFORD L L C

Laboratory Demographics

CLIA Number: 14D0999873

Facility Name: ALDEN OF WATERFORD L L C

Facility Address:
2021 RANDI DR
AURORA, IL
ZIP 60504
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Facility Phone Number: 630 851-7266

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1104477736

Taxonomy: 261QR0401X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 14D0999873
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALDEN OF WATERFORD L L C
Street 2021 RANDI DR
City AURORA
State IL
ZIP 60504
Phone 630 851-7266
CertificateType 4
CertificateEffectiveDate 3/2/2024
CertificateExpirationDate 3/1/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024