14D2086194 CLIA NUMBER - WINDROSE RECOVERY CHICAGO, LLC

Laboratory Demographics

  • CLIA Code: 14D2086194
  • Facility Name: WINDROSE RECOVERY CHICAGO, LLC
  • Facility Address: 142 E ONTARIO ST - STE 1000
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 414 930-1920
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DOMINIC ANGRES
  • NPI Number: 1780259788
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2086194
LAB Type Comp. Outpatient Rehab Facility
Facility Name WINDROSE RECOVERY CHICAGO, LLC
Street 142 E ONTARIO ST - STE 1000
City CHICAGO
State IL
ZIP 60611
Phone 414 930-1920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DOMINIC ANGRES

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