14D2030005 CLIA NUMBER - AVEANNA HEALTHCARE - IL D & D SERVICES, INC

Laboratory Demographics

  • CLIA Code: 14D2030005
  • Facility Name: AVEANNA HEALTHCARE - IL D & D SERVICES, INC
  • Facility Address: 945 SE 2ND ST
    GALVA, IL
    ZIP 61434
  • Facility Phone: 309 932-3000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMY GELSOMINO
  • NPI Number: 1043695414
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2030005
LAB Type Home Health Agency
Facility Name AVEANNA HEALTHCARE - IL D & D SERVICES, INC
Street 945 SE 2ND ST
City GALVA
State IL
ZIP 61434
Phone 309 932-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Home Health Agency
Lab Director AMY GELSOMINO

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This page was last updated on: 9/29/2025