14D0931178 CLIA NUMBER - ACCENTCARE HOSPICE & PALLIATIVE CARE OF ILLINOIS SEASONS HOSPICE, LLC

Laboratory Demographics

CLIA Number: 14D0931178

Facility Name: ACCENTCARE HOSPICE & PALLIATIVE CARE OF ILLINOIS SEASONS HOSPICE, LLC

Facility Address:
6400 SHAFER CT - STE 300
ROSEMONT, IL
ZIP 60018
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Facility Phone Number: 847 759-9449

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1649335035

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	14D0931178
LAB Type	Hospice
Facility Name	ACCENTCARE HOSPICE & PALLIATIVE CARE OF ILLINOIS SEASONS HOSPICE, LLC
Street	6400 SHAFER CT - STE 300
City	ROSEMONT
State	IL
ZIP	60018
Phone	847 759-9449
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024