14D0983747 CLIA NUMBER - INTERIM HEALTH CARE PSG SERVICES

Laboratory Demographics

  • CLIA Code: 14D0983747
  • Facility Name: INTERIM HEALTH CARE PSG SERVICES
  • Facility Address: 12855 S CICERO AVE, STE 200
    ALSIP, IL
    ZIP 60803
  • Facility Phone: 708 422-2934
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAURA SALDANA
  • NPI Number: 1598725103
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D0983747
LAB Type Home Health Agency
Facility Name INTERIM HEALTH CARE PSG SERVICES
Street 12855 S CICERO AVE, STE 200
City ALSIP
State IL
ZIP 60803
Phone 708 422-2934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Home Health Agency
Lab Director LAURA SALDANA

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