14D1024599 CLIA NUMBER - AVESENA HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 14D1024599
  • Facility Name: AVESENA HOME HEALTH CARE
  • Facility Address: 221 E LAKE STREET-SUITE 108
    ADDISON, IL
    ZIP 60101
  • Facility Phone: 630 833-2486
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHUKRIA B. SATTI
  • NPI Number: 1700964855
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1024599
LAB Type Home Health Agency
Facility Name AVESENA HOME HEALTH CARE
Street 221 E LAKE STREET-SUITE 108
City ADDISON
State IL
ZIP 60101
Phone 630 833-2486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Home Health Agency
Lab Director SHUKRIA B. SATTI

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