14D0990300 CLIA NUMBER - ILLINOIS HOME HEALTH CARE LHCG XXXVII LLC

Laboratory Demographics

  • CLIA Code: 14D0990300
  • Facility Name: ILLINOIS HOME HEALTH CARE LHCG XXXVII LLC
  • Facility Address: 906 SKYLINE DRIVE, SUITE 200
    MARION, IL
    ZIP 62959
  • Facility Phone: 618 997-6565
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOEY ASH
  • NPI Number: 1356735740
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0990300
LAB Type Home Health Agency
Facility Name ILLINOIS HOME HEALTH CARE LHCG XXXVII LLC
Street 906 SKYLINE DRIVE, SUITE 200
City MARION
State IL
ZIP 62959
Phone 618 997-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Home Health Agency
Lab Director JOEY ASH

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