14D2281316 CLIA NUMBER - ALIYA OF HOMEWOOD

Laboratory Demographics

  • CLIA Code: 14D2281316
  • Facility Name: ALIYA OF HOMEWOOD
  • Facility Address: 940 MAPLE AVE
    HOMEWOOD, IL
    ZIP 60430
  • Facility Phone: 708 799-0244
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDY L. GREGORY
  • NPI Number: 1346953528
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2281316
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALIYA OF HOMEWOOD
Street 940 MAPLE AVE
City HOMEWOOD
State IL
ZIP 60430
Phone 708 799-0244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRANDY L. GREGORY

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This page was last updated on: 6/4/2025