14D2101391 CLIA NUMBER - DIVINE HOSPICE AND PALLIATIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 14D2101391
  • Facility Name: DIVINE HOSPICE AND PALLIATIVE CARE LLC
  • Facility Address: 234 GARDEN STREET
    YORKVILLE, IL
    ZIP 60560
  • Facility Phone: 630 553-8500
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BINU GEORGE
  • NPI Number: 1437517547
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2101391
LAB Type Hospice
Facility Name DIVINE HOSPICE AND PALLIATIVE CARE LLC
Street 234 GARDEN STREET
City YORKVILLE
State IL
ZIP 60560
Phone 630 553-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Hospice
Lab Director BINU GEORGE

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