14D0418038 CLIA NUMBER - INTERIM HEALTHCARE PSG SERVICES

Laboratory Demographics

  • CLIA Code: 14D0418038
  • Facility Name: INTERIM HEALTHCARE PSG SERVICES
  • Facility Address: 188 INDUSTRIAL DR - STE 124
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 630 359-6660
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BERNARD BULGER
  • NPI Number: 1932305950
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 14D0418038
LAB Type Home Health Agency
Facility Name INTERIM HEALTHCARE PSG SERVICES
Street 188 INDUSTRIAL DR - STE 124
City ELMHURST
State IL
ZIP 60126
Phone 630 359-6660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director BERNARD BULGER

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