14D2197259 CLIA NUMBER - HERITAGE WOODS OF GURNEE

Laboratory Demographics

  • CLIA Code: 14D2197259
  • Facility Name: HERITAGE WOODS OF GURNEE
  • Facility Address: 3775 GRAND AVE
    GURNEE, IL
    ZIP 60031
  • Facility Phone: 847 623-6300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RUSTY J. BEHMER
  • NPI Number: 1669726527
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2197259
LAB Type Assisted Living Facility
Facility Name HERITAGE WOODS OF GURNEE
Street 3775 GRAND AVE
City GURNEE
State IL
ZIP 60031
Phone 847 623-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Assisted Living Facility
Lab Director RUSTY J. BEHMER

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