14D2305617 CLIA NUMBER - RYZE WEST

Laboratory Demographics

  • CLIA Code: 14D2305617
  • Facility Name: RYZE WEST
  • Facility Address: 5130 W JACKSON BLVD
    CHICAGO, IL
    ZIP 60644
  • Facility Phone: 773 921-8000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDY L. GREGORY
  • NPI Number: 1942984943
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2305617
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RYZE WEST
Street 5130 W JACKSON BLVD
City CHICAGO
State IL
ZIP 60644
Phone 773 921-8000
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