14D1050389 CLIA NUMBER - ATRIUM HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 14D1050389
  • Facility Name: ATRIUM HEALTHCARE SERVICES LLC
  • Facility Address: 3112 W 95TH ST
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 773 445-4550
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KHALIL MEMOU
  • NPI Number: 1043301393
  • Taxonomy: 251E00000X - Home Health

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Home Health Agency
Lab Director KHALIL MEMOU

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