14D1034579 CLIA NUMBER - TRADITIONS HOSPICE OF HARWOOD HEIGHTS, LLC

Laboratory Demographics

CLIA Number: 14D1034579

Facility Name: TRADITIONS HOSPICE OF HARWOOD HEIGHTS, LLC

Facility Address:
7444 W WILSON AVE - STE 102
HARWOOD HEIGHTS, IL
ZIP 60706
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Facility Phone Number: 847 885-1818

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1366118473

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	14D1034579
LAB Type	Hospice
Facility Name	TRADITIONS HOSPICE OF HARWOOD HEIGHTS, LLC
Street	7444 W WILSON AVE - STE 102
City	HARWOOD HEIGHTS
State	IL
ZIP	60706
Phone	847 885-1818
CertificateType	4
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024