14D2310250 CLIA NUMBER - ELEVATE CARE WINDSOR PARK

Laboratory Demographics

  • CLIA Code: 14D2310250
  • Facility Name: ELEVATE CARE WINDSOR PARK
  • Facility Address: 2649 E 75TH ST
    CHICAGO, IL
    ZIP 60649
  • Facility Phone: 773 356-9300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAMICSHAYA KELLY
  • NPI Number: 1700503752
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2310250
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELEVATE CARE WINDSOR PARK
Street 2649 E 75TH ST
City CHICAGO
State IL
ZIP 60649
Phone 773 356-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LAMICSHAYA KELLY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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