14D0874766 CLIA NUMBER - INGALLS HOME CARE

Laboratory Demographics

  • CLIA Code: 14D0874766
  • Facility Name: INGALLS HOME CARE
  • Facility Address: 1 INGALLS DRIVE WYMAN-GORDON PAVILION
    HARVEY, IL
    ZIP 60426
  • Facility Phone: 708 331-0226
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LYNNETTE SCHWARTZHOFF
  • NPI Number: 1255375259
  • Taxonomy: 251F00000X - Home Infusion

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CLIA Record

Field Name Field Value
CLIA Number 14D0874766
LAB Type Home Health Agency
Facility Name INGALLS HOME CARE
Street 1 INGALLS DRIVE WYMAN-GORDON PAVILION
City HARVEY
State IL
ZIP 60426
Phone 708 331-0226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Home Health Agency
Lab Director LYNNETTE SCHWARTZHOFF

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