14D2204907 CLIA NUMBER - CLEARBROOK WEST

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Field Name	Field Value
CLIA Number	14D2204907
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	CLEARBROOK WEST
Street	3980 FAIRFAX AVE
City	ROLLING MEADOWS
State	IL
ZIP	60008
Phone	847 870-0745
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/11/2024
Certificate Expiration Date	12/10/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	BRADLEY C. BARTELS

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