14D2196284 CLIA NUMBER - HERITAGE WOODS OF PLAINFIELD

Laboratory Demographics

  • CLIA Code: 14D2196284
  • Facility Name: HERITAGE WOODS OF PLAINFIELD
  • Facility Address: 14731 S VAN DYKE ROAD
    PLAINFIELD, IL
    ZIP 60544
  • Facility Phone: 815 267-3800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TANYA POWERS JENNINGS
  • NPI Number: 1982978219
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2196284
LAB Type Assisted Living Facility
Facility Name HERITAGE WOODS OF PLAINFIELD
Street 14731 S VAN DYKE ROAD
City PLAINFIELD
State IL
ZIP 60544
Phone 815 267-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Assisted Living Facility
Lab Director TANYA POWERS JENNINGS

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