14D1100870 CLIA NUMBER - RADFORD GREEN SEDGEBROOK OPCO SL - VII L L C

Laboratory Demographics

  • CLIA Code: 14D1100870
  • Facility Name: RADFORD GREEN SEDGEBROOK OPCO SL - VII L L C
  • Facility Address: 800 AUDUBON WAY
    LINCOLNSHIRE, IL
    ZIP 60069
  • Facility Phone: 847 876-2100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD A. MARGOLIN
  • NPI Number: 1013403195
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D1100870
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RADFORD GREEN SEDGEBROOK OPCO SL - VII L L C
Street 800 AUDUBON WAY
City LINCOLNSHIRE
State IL
ZIP 60069
Phone 847 876-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICHARD A. MARGOLIN

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