14D1072557 CLIA NUMBER - SPRING MEADOWS HOME HEALTH CARE L L C

Laboratory Demographics

  • CLIA Code: 14D1072557
  • Facility Name: SPRING MEADOWS HOME HEALTH CARE L L C
  • Facility Address: 113 FAIRFIELD WAY #204
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 847 641-5132
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANDRE L. BROWN
  • NPI Number: 1316127731
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1072557
LAB Type Home Health Agency
Facility Name SPRING MEADOWS HOME HEALTH CARE L L C
Street 113 FAIRFIELD WAY #204
City BLOOMINGDALE
State IL
ZIP 60108
Phone 847 641-5132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2023
Certificate Expiration Date 8/19/2025
Facility Type Home Health Agency
Lab Director ANDRE L. BROWN

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This page was last updated on: 3/20/2025