14D2305721 CLIA NUMBER - ALTA AT OAK BROOK

Laboratory Demographics

  • CLIA Code: 14D2305721
  • Facility Name: ALTA AT OAK BROOK
  • Facility Address: 2013 MIDWEST RD
    OAK BROOK, IL
    ZIP 60523
  • Facility Phone: 630 495-0220
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JINA L. DAVIES
  • NPI Number: 1467224121
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2305721
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALTA AT OAK BROOK
Street 2013 MIDWEST RD
City OAK BROOK
State IL
ZIP 60523
Phone 630 495-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JINA L. DAVIES

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