14D2181079 CLIA NUMBER - REINVENT LIFE TREATMENT CENTER R L GROUP L L C

Laboratory Demographics

  • CLIA Code: 14D2181079
  • Facility Name: REINVENT LIFE TREATMENT CENTER R L GROUP L L C
  • Facility Address: 1200 W 35TH ST
    CHICAGO, IL
    ZIP 60609
  • Facility Phone: 708 860-1201
  • Facility Type: Other - SUBSTANCE ABUSE TRTMT CTR
  • Facility Type: Waiver
  • Lab Director: RALPH C. MENEZES M D
  • NPI Number: 1376102814
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2181079
LAB Type Other - SUBSTANCE ABUSE TRTMT CTR
Facility Name REINVENT LIFE TREATMENT CENTER R L GROUP L L C
Street 1200 W 35TH ST
City CHICAGO
State IL
ZIP 60609
Phone 708 860-1201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Other - SUBSTANCE ABUSE TRTMT CTR
Lab Director RALPH C. MENEZES M D

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