14D0944211 CLIA NUMBER - ELARA CARING I HOSPICE OF ILLINOIS LLC

Laboratory Demographics

CLIA Number: 14D0944211

Facility Name: ELARA CARING I HOSPICE OF ILLINOIS LLC

Facility Address:
1011 E TOUHY AVE - STE 170A
DES PLAINES, IL
ZIP 60018
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Facility Phone Number: 224 244-7381

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1164456851

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 14D0944211
LAB Type Hospice
Facility Name ELARA CARING I HOSPICE OF ILLINOIS LLC
Street 1011 E TOUHY AVE - STE 170A
City DES PLAINES
State IL
ZIP 60018
Phone 224 244-7381
CertificateType 4
CertificateEffectiveDate 4/9/2024
CertificateExpirationDate 4/8/2026
FacilityType Waiver

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