14D1106941 CLIA NUMBER - ESSENTIAL PREVENTIVE HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 14D1106941
  • Facility Name: ESSENTIAL PREVENTIVE HEALTH CARE LLC
  • Facility Address: 101 W 22ND ST
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: (630) 376-6024
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TYRONE E. ROMERO
  • NPI Number: 1548595408
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1106941
LAB Type Home Health Agency
Facility Name ESSENTIAL PREVENTIVE HEALTH CARE LLC
Street 101 W 22ND ST
City LOMBARD
State IL
ZIP 60148
Phone 6303766024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2025
Certificate Expiration Date 10/25/2027
Facility Type Home Health Agency
Lab Director TYRONE E. ROMERO

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This page was last updated on: 6/29/2026