14D2089502 CLIA NUMBER - SUNRISE OF FLOSSMOOR

Laboratory Demographics

  • CLIA Code: 14D2089502
  • Facility Name: SUNRISE OF FLOSSMOOR
  • Facility Address: 19715 GOVERNORS HWY
    FLOSSMOOR, IL
    ZIP 60422
  • Facility Phone: 708 798-1600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANJENETTE L. CAMPBELL
  • NPI Number: 1013188861
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2089502
LAB Type Assisted Living Facility
Facility Name SUNRISE OF FLOSSMOOR
Street 19715 GOVERNORS HWY
City FLOSSMOOR
State IL
ZIP 60422
Phone 708 798-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Assisted Living Facility
Lab Director ANJENETTE L. CAMPBELL

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