14D2185539 CLIA NUMBER - WAY BACK INN

Laboratory Demographics

  • CLIA Code: 14D2185539
  • Facility Name: WAY BACK INN
  • Facility Address: 104 OAK ST
    MAYWOOD, IL
    ZIP 60153
  • Facility Phone: 708 345-8422
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ANITA M. PINDIUR
  • NPI Number: 1467839803
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2185539
LAB Type Comp. Outpatient Rehab Facility
Facility Name WAY BACK INN
Street 104 OAK ST
City MAYWOOD
State IL
ZIP 60153
Phone 708 345-8422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ANITA M. PINDIUR

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