14D1086612 CLIA NUMBER - IMMANUEL HOME CARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 14D1086612
  • Facility Name: IMMANUEL HOME CARE SERVICES INC
  • Facility Address: 9205 S KEATING - STE 1
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 773 285-2227
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IRENE EDWARDS
  • NPI Number: 1194948976
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1086612
LAB Type Home Health Agency
Facility Name IMMANUEL HOME CARE SERVICES INC
Street 9205 S KEATING - STE 1
City OAK LAWN
State IL
ZIP 60453
Phone 773 285-2227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Home Health Agency
Lab Director IRENE EDWARDS

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