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14D2001374 CLIA NUMBER - EVEREST HEALTHCARE SOLUTIONS

Laboratory Demographics

CLIA Number: 14D2001374

Facility Name: EVEREST HEALTHCARE SOLUTIONS

Facility Address:
75 EXECUTIVE DR, STE 104
AURORA, IL
ZIP 60504
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Facility Phone Number: 630 405-7244

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1689817389

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 14D2001374
LAB Type Home Health Agency
Facility Name EVEREST HEALTHCARE SOLUTIONS
Street 75 EXECUTIVE DR, STE 104
City AURORA
State IL
ZIP 60504
Phone 630 405-7244
CertificateType 4
CertificateEffectiveDate 12/17/2023
CertificateExpirationDate 12/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024