14D2030468 CLIA NUMBER - ANGELS GRACE HOSPICE

Laboratory Demographics

  • CLIA Code: 14D2030468
  • Facility Name: ANGELS GRACE HOSPICE
  • Facility Address: 444 QUADRANGLE DR STE G
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 888 444-8341
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARILYN S. COLLEY R N
  • NPI Number: 1962782995
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2030468
LAB Type Hospice
Facility Name ANGELS GRACE HOSPICE
Street 444 QUADRANGLE DR STE G
City BOLINGBROOK
State IL
ZIP 60440
Phone 888 444-8341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Hospice
Lab Director MARILYN S. COLLEY R N

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