14D2030505 CLIA NUMBER - EXCELCARE HOME HEALTH (D/B/A) GRACE HEALTH SYSTEMS

Laboratory Demographics

  • CLIA Code: 14D2030505
  • Facility Name: EXCELCARE HOME HEALTH (D/B/A) GRACE HEALTH SYSTEMS
  • Facility Address: 9933 LAWLER - STE 521
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 847 983-0666
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ROSAFLOR FADUL
  • NPI Number: 1053693739
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2030505
LAB Type Home Health Agency
Facility Name EXCELCARE HOME HEALTH (D/B/A) GRACE HEALTH SYSTEMS
Street 9933 LAWLER - STE 521
City SKOKIE
State IL
ZIP 60077
Phone 847 983-0666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Home Health Agency
Lab Director ROSAFLOR FADUL

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