14D1047393 CLIA NUMBER - CLASSIC HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 14D1047393
  • Facility Name: CLASSIC HEALTH SERVICES INC
  • Facility Address: 2200 S MAIN ST, STE 300
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 620-9251
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUSAN A. SANCHEZ RN
  • NPI Number: 1740230622
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1047393
LAB Type Home Health Agency
Facility Name CLASSIC HEALTH SERVICES INC
Street 2200 S MAIN ST, STE 300
City LOMBARD
State IL
ZIP 60148
Phone 630 620-9251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Home Health Agency
Lab Director SUSAN A. SANCHEZ RN

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