14D2021346 CLIA NUMBER - COMFORT PLUS HOSPICE

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Laboratory Demographics

CLIA Number: 14D2021346

Facility Name: COMFORT PLUS HOSPICE

Facility Address:
7150 N UNIVERSITY
PEORIA, IL
ZIP 61614
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Facility Phone Number: 309 620-9821

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1053619734

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	14D2021346
LAB Type	Hospice
Facility Name	COMFORT PLUS HOSPICE
Street	7150 N UNIVERSITY
City	PEORIA
State	IL
ZIP	61614
Phone	309 620-9821
CertificateType	4
CertificateEffectiveDate	3/11/2023
CertificateExpirationDate	3/10/2025
FacilityType	Waiver

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