14D2200064 CLIA NUMBER - IH FOX VALLEY OPCO, LLC

Laboratory Demographics

  • CLIA Code: 14D2200064
  • Facility Name: IH FOX VALLEY OPCO, LLC
  • Facility Address: 4020 E NEW YORK ST
    AURORA, IL
    ZIP 60504
  • Facility Phone: 847 720-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LYNN BLACKBURN
  • NPI Number: 1730790817
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2200064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IH FOX VALLEY OPCO, LLC
Street 4020 E NEW YORK ST
City AURORA
State IL
ZIP 60504
Phone 847 720-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LYNN BLACKBURN

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