Healther Providers Data Logo

14D1050389 CLIA NUMBER - ATRIUM HEALTHCARE SERVICES LLC

Laboratory Demographics

CLIA Number: 14D1050389

Facility Name: ATRIUM HEALTHCARE SERVICES LLC

Facility Address:
3112 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805
Get Directions

Facility Phone Number: 773 445-4550

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1043301393

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 14D1050389
LAB Type Home Health Agency
Facility Name ATRIUM HEALTHCARE SERVICES LLC
Street 3112 W 95TH ST
City EVERGREEN PARK
State IL
ZIP 60805
Phone 773 445-4550
CertificateType 4
CertificateEffectiveDate 2/2/2024
CertificateExpirationDate 2/1/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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