14D2027333 CLIA NUMBER - VIP HOME HEALTH AND HOSPICE INC

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Laboratory Demographics

CLIA Number: 14D2027333

Facility Name: VIP HOME HEALTH AND HOSPICE INC

Facility Address:
167-B W BOUGHTON RD
BOLINGBROOK, IL
ZIP 60440
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Facility Phone Number: 630 410-8338

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1639305071

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	14D2027333
LAB Type	Hospice
Facility Name	VIP HOME HEALTH AND HOSPICE INC
Street	167-B W BOUGHTON RD
City	BOLINGBROOK
State	IL
ZIP	60440
Phone	630 410-8338
CertificateType	4
CertificateEffectiveDate	7/21/2023
CertificateExpirationDate	7/20/2025
FacilityType	Waiver

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