14D2015371 CLIA NUMBER - ANGELS CARE HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 14D2015371
  • Facility Name: ANGELS CARE HOME HEALTH SERVICES
  • Facility Address: 5418 N KEDZIE AVE
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 279-8078
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AKAVUT SUESAKUL
  • NPI Number: 1265732655
  • Taxonomy: -

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CLIA Record

Field Name Field Value
CLIA Number 14D2015371
LAB Type Home Health Agency
Facility Name ANGELS CARE HOME HEALTH SERVICES
Street 5418 N KEDZIE AVE
City CHICAGO
State IL
ZIP 60625
Phone 773 279-8078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Home Health Agency
Lab Director AKAVUT SUESAKUL

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This page was last updated on: 3/20/2025