14D2164970 CLIA NUMBER - OAK TRACE LIFESPACE COMMUNITIES, INC

Laboratory Demographics

  • CLIA Code: 14D2164970
  • Facility Name: OAK TRACE LIFESPACE COMMUNITIES, INC
  • Facility Address: 250 VILLAGE DR
    DOWNERS GROVE, IL
    ZIP 60516
  • Facility Phone: 630 769-6201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: COURTNEY KARL
  • NPI Number: 1023016730
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2164970
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK TRACE LIFESPACE COMMUNITIES, INC
Street 250 VILLAGE DR
City DOWNERS GROVE
State IL
ZIP 60516
Phone 630 769-6201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director COURTNEY KARL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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