14D2017244 CLIA NUMBER - IGNITE MEDICAL HANOVER PARK

Laboratory Demographics

  • CLIA Code: 14D2017244
  • Facility Name: IGNITE MEDICAL HANOVER PARK
  • Facility Address: 2000 W LAKE ST
    HANOVER PARK, IL
    ZIP 60133
  • Facility Phone: 630 556-2000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TATIA DUGGER
  • NPI Number: 1356729123
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2017244
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IGNITE MEDICAL HANOVER PARK
Street 2000 W LAKE ST
City HANOVER PARK
State IL
ZIP 60133
Phone 630 556-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TATIA DUGGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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