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

Laboratory Demographics

CLIA Number: 14D2181079

Facility Name: REINVENT LIFE TREATMENT CENTER R L GROUP L L C

Facility Address:
1200 W 35TH ST
CHICAGO, IL
ZIP 60609
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Facility Phone Number: 708 860-1201

Facility Type: Other - SUBSTANCE ABUSE TRTMT CTR

Certificate Type: Waiver

NPI Number: 1376102814

Taxonomy: 261QR0405X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	3/25/2024
CertificateExpirationDate	3/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024