14D2203821 CLIA NUMBER - FRANCISCAN MINISTRIES- VICTORY LAKES ASSISTED LIV

Laboratory Demographics

  • CLIA Code: 14D2203821
  • Facility Name: FRANCISCAN MINISTRIES- VICTORY LAKES ASSISTED LIV
  • Facility Address: 1065 E VICTORY DRIVE
    LINDENHURST, IL
    ZIP 60046
  • Facility Phone: (847) 356-4665
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDER POTERMIN

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CLIA Record

Field Name Field Value
CLIA Number 14D2203821
LAB Type Assisted Living Facility
Facility Name FRANCISCAN MINISTRIES- VICTORY LAKES ASSISTED LIV
Street 1065 E VICTORY DRIVE
City LINDENHURST
State IL
ZIP 60046
Phone 8473564665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Assisted Living Facility
Lab Director ALEXANDER POTERMIN

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This page was last updated on: 5/18/2026