14D2305611 CLIA NUMBER - RYZE AT THE RIDGE

Laboratory Demographics

  • CLIA Code: 14D2305611
  • Facility Name: RYZE AT THE RIDGE
  • Facility Address: 6450 N RIDGE BLVD
    CHICAGO, IL
    ZIP 60626
  • Facility Phone: 773 743-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDY L. GREGORY
  • NPI Number: 1689438244
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2305611
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RYZE AT THE RIDGE
Street 6450 N RIDGE BLVD
City CHICAGO
State IL
ZIP 60626
Phone 773 743-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BRANDY L. GREGORY

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