14D1090729 CLIA NUMBER - ALDEN SPRINGS INC

Laboratory Demographics

CLIA Number: 14D1090729

Facility Name: ALDEN SPRINGS INC

Facility Address:
207 E ARMY TRAIL RD
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 630 523-5783

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1922463629

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D1090729
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	ALDEN SPRINGS INC
Street	207 E ARMY TRAIL RD
City	BLOOMINGDALE
State	IL
ZIP	60108
Phone	630 523-5783
CertificateType	4
CertificateEffectiveDate	10/17/2022
CertificateExpirationDate	10/16/2024
FacilityType	Waiver

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