14D2204059 CLIA NUMBER - MORAINE COURT

Laboratory Demographics

  • CLIA Code: 14D2204059
  • Facility Name: MORAINE COURT
  • Facility Address: 8080 S HARLEM AVE
    BRIDGEVIEW, IL
    ZIP 60455
  • Facility Phone: 708 594-2700
  • Facility Type: Other - SUPPORTIVE LIVING
  • Facility Type: Waiver
  • Lab Director: CHRISTY L. SALGADO
  • NPI Number: 1740415090
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2204059
LAB Type Other - SUPPORTIVE LIVING
Facility Name MORAINE COURT
Street 8080 S HARLEM AVE
City BRIDGEVIEW
State IL
ZIP 60455
Phone 708 594-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - SUPPORTIVE LIVING
Lab Director CHRISTY L. SALGADO

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