14D2202688 CLIA NUMBER - CTF ILLINOIS

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Laboratory Demographics

CLIA Number: 14D2202688

Facility Name: CTF ILLINOIS

Facility Address:
18230 ORLAND PARKWAY
ORLAND PARK, IL
ZIP 60467
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Facility Phone Number: 708 429-1260

Facility Type: Other - RESIDENTIAL DAY PROGRAM

Certificate Type: Waiver

NPI Number: 1356706881

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2202688
LAB Type	Other - RESIDENTIAL DAY PROGRAM
Facility Name	CTF ILLINOIS
Street	18230 ORLAND PARKWAY
City	ORLAND PARK
State	IL
ZIP	60467
Phone	708 429-1260
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

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