14D2305620 CLIA NUMBER - ALIYA OF WRIGHTWOOD

Laboratory Demographics

  • CLIA Code: 14D2305620
  • Facility Name: ALIYA OF WRIGHTWOOD
  • Facility Address: 2940 W 87TH ST
    CHICAGO, IL
    ZIP 60652
  • Facility Phone: 773 434-8787
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDY L. GREGORY
  • NPI Number: 1649954645
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2305620
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALIYA OF WRIGHTWOOD
Street 2940 W 87TH ST
City CHICAGO
State IL
ZIP 60652
Phone 773 434-8787
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