14D1084587 CLIA NUMBER - WELLSPRING HEALTHCARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 14D1084587
  • Facility Name: WELLSPRING HEALTHCARE SERVICES INC
  • Facility Address: 3590 HOBSON RD - STE 404
    WOODRIDGE, IL
    ZIP 60517
  • Facility Phone: 630 968-7777
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RICHARD D. SHROYER
  • NPI Number: 1528259975
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1084587
LAB Type Home Health Agency
Facility Name WELLSPRING HEALTHCARE SERVICES INC
Street 3590 HOBSON RD - STE 404
City WOODRIDGE
State IL
ZIP 60517
Phone 630 968-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Home Health Agency
Lab Director RICHARD D. SHROYER

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