14D1023194 CLIA NUMBER - COMMUNITY HOMECARE INC

Laboratory Demographics

  • CLIA Code: 14D1023194
  • Facility Name: COMMUNITY HOMECARE INC
  • Facility Address: 107 E JEFFERSON ST
    SULLIVAN, IL
    ZIP 61951
  • Facility Phone: 217 728-2320
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KELLY L. SCOTT
  • NPI Number: 1710973235
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1023194
LAB Type Home Health Agency
Facility Name COMMUNITY HOMECARE INC
Street 107 E JEFFERSON ST
City SULLIVAN
State IL
ZIP 61951
Phone 217 728-2320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Home Health Agency
Lab Director KELLY L. SCOTT

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