14D2044547 CLIA NUMBER - SOUTHVIEW MANOR

Laboratory Demographics

  • CLIA Code: 14D2044547
  • Facility Name: SOUTHVIEW MANOR
  • Facility Address: 3311 S MICHIGAN AVE
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 528-5350
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA EKE-MBAH
  • NPI Number: 1710067947
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2044547
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHVIEW MANOR
Street 3311 S MICHIGAN AVE
City CHICAGO
State IL
ZIP 60616
Phone 312 528-5350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA EKE-MBAH

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