14D1017338 CLIA NUMBER - GOLDEN HAVEN CARE INC

Laboratory Demographics

  • CLIA Code: 14D1017338
  • Facility Name: GOLDEN HAVEN CARE INC
  • Facility Address: 6525 W NORTH AVE, STE 207
    OAK PARK, IL
    ZIP 60302
  • Facility Phone: 708 358-1267
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MELVIN ADALIN
  • NPI Number: 1497739163
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1017338
LAB Type Home Health Agency
Facility Name GOLDEN HAVEN CARE INC
Street 6525 W NORTH AVE, STE 207
City OAK PARK
State IL
ZIP 60302
Phone 708 358-1267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Home Health Agency
Lab Director MELVIN ADALIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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