14D1050249 CLIA NUMBER - ST CROIX HOSPICE LOMBARD LEXINGTON HOSPICE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 14D1050249
  • Facility Name: ST CROIX HOSPICE LOMBARD LEXINGTON HOSPICE SERVICES LLC
  • Facility Address: 333 E BUTTERFIELD RD - STE 100
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 748-3652
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PATRICIA TOMASZEK
  • NPI Number: 1679660153
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D1050249
LAB Type Hospice
Facility Name ST CROIX HOSPICE LOMBARD LEXINGTON HOSPICE SERVICES LLC
Street 333 E BUTTERFIELD RD - STE 100
City LOMBARD
State IL
ZIP 60148
Phone 630 748-3652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Hospice
Lab Director PATRICIA TOMASZEK

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