14D2156837 CLIA NUMBER - AVANTARA ELGIN

Laboratory Demographics

  • CLIA Code: 14D2156837
  • Facility Name: AVANTARA ELGIN
  • Facility Address: 1950 LARKIN AVE
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 742-7070
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL CATBAGAN
  • NPI Number: 1619456670
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2156837
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVANTARA ELGIN
Street 1950 LARKIN AVE
City ELGIN
State IL
ZIP 60123
Phone 847 742-7070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL CATBAGAN

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