14D1064133 CLIA NUMBER - SENIOR HOME HEALTH AGENCY

Laboratory Demographics

  • CLIA Code: 14D1064133
  • Facility Name: SENIOR HOME HEALTH AGENCY
  • Facility Address: 1550 N NORTHWEST HWY - STE 350
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 376-8939
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SOLVITA TAMOSIUNIENE
  • NPI Number: 1245362623
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1064133
LAB Type Home Health Agency
Facility Name SENIOR HOME HEALTH AGENCY
Street 1550 N NORTHWEST HWY - STE 350
City PARK RIDGE
State IL
ZIP 60068
Phone 847 376-8939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Home Health Agency
Lab Director SOLVITA TAMOSIUNIENE

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