14D1067359 CLIA NUMBER - PRIME HOME CARE - JOLIET PRIME HEALTHCARE HOME CARE & HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 14D1067359
  • Facility Name: PRIME HOME CARE - JOLIET PRIME HEALTHCARE HOME CARE & HOSPICE LLC
  • Facility Address: 50 UNO CIRCLE - STE EAST
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 741-7371
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GAYLE MELBY
  • NPI Number: 1881645125
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1067359
LAB Type Home Health Agency
Facility Name PRIME HOME CARE - JOLIET PRIME HEALTHCARE HOME CARE & HOSPICE LLC
Street 50 UNO CIRCLE - STE EAST
City JOLIET
State IL
ZIP 60435
Phone 815 741-7371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Home Health Agency
Lab Director GAYLE MELBY

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