14D2013995 CLIA NUMBER - IMMACULATE HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 14D2013995
  • Facility Name: IMMACULATE HOME HEALTH INC
  • Facility Address: 8340 LINCOLN AVE, STE 212
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: (773) 383-2013
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MIRAFLOR OAING
  • NPI Number: 1104127927
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2013995
LAB Type Home Health Agency
Facility Name IMMACULATE HOME HEALTH INC
Street 8340 LINCOLN AVE, STE 212
City SKOKIE
State IL
ZIP 60077
Phone 7733832013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Home Health Agency
Lab Director MIRAFLOR OAING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026