14D2176809 CLIA NUMBER - DEERFIELD CROSSING OF NORTHBROOK NORTHBROOK N H - L L C

Laboratory Demographics

  • CLIA Code: 14D2176809
  • Facility Name: DEERFIELD CROSSING OF NORTHBROOK NORTHBROOK N H - L L C
  • Facility Address: 4101 LAKE COOK RD
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 562-1770
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALECIA T. WING
  • NPI Number: 1548703085
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2176809
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DEERFIELD CROSSING OF NORTHBROOK NORTHBROOK N H - L L C
Street 4101 LAKE COOK RD
City NORTHBROOK
State IL
ZIP 60062
Phone 847 562-1770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALECIA T. WING

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