14D2308270 CLIA NUMBER - ARC AT BRADLEY

Laboratory Demographics

  • CLIA Code: 14D2308270
  • Facility Name: ARC AT BRADLEY
  • Facility Address: 650 N KINZIE AVE
    BRADLEY, IL
    ZIP 60915
  • Facility Phone: 815 933-1666
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA D. MOORE
  • NPI Number: 1629829619
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2308270
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARC AT BRADLEY
Street 650 N KINZIE AVE
City BRADLEY
State IL
ZIP 60915
Phone 815 933-1666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANGELA D. MOORE

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