14D1054879 CLIA NUMBER - INTEGRATED HOME HEALTHCARE SERVICES CORP

Laboratory Demographics

  • CLIA Code: 14D1054879
  • Facility Name: INTEGRATED HOME HEALTHCARE SERVICES CORP
  • Facility Address: 900 TECHNOLOGY WAY STE 280
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 312-9249
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROWENA J. OLIVA
  • NPI Number: 1639417959
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D1054879
LAB Type Home Health Agency
Facility Name INTEGRATED HOME HEALTHCARE SERVICES CORP
Street 900 TECHNOLOGY WAY STE 280
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 312-9249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Home Health Agency
Lab Director ROWENA J. OLIVA

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