14D2162078 CLIA NUMBER - ELEVATE CARE WAUKEGAN, L L C

Laboratory Demographics

  • CLIA Code: 14D2162078
  • Facility Name: ELEVATE CARE WAUKEGAN, L L C
  • Facility Address: 2222 W 14TH ST
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 370-3309
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VIENA V. PAHILAN
  • NPI Number: 1457822199
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2162078
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELEVATE CARE WAUKEGAN, L L C
Street 2222 W 14TH ST
City WAUKEGAN
State IL
ZIP 60085
Phone 847 370-3309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VIENA V. PAHILAN

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