14D1034817 CLIA NUMBER - HERITAGE HOME HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 14D1034817
  • Facility Name: HERITAGE HOME HEALTH CARE INC
  • Facility Address: 4450 OAKTON STREET
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 982-9862
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOSE B. TOLENTINO
  • NPI Number: 1700950714
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1034817
LAB Type Home Health Agency
Facility Name HERITAGE HOME HEALTH CARE INC
Street 4450 OAKTON STREET
City SKOKIE
State IL
ZIP 60076
Phone 847 982-9862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Home Health Agency
Lab Director JOSE B. TOLENTINO

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This page was last updated on: 6/4/2025