14D2124952 CLIA NUMBER - UNITED HOSPICE INC

Laboratory Demographics

  • CLIA Code: 14D2124952
  • Facility Name: UNITED HOSPICE INC
  • Facility Address: 1420 RENAISSANCE DR - STE 209
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 779-3989
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TORI GARLAND
  • NPI Number: 1891229324
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2124952
LAB Type Hospice
Facility Name UNITED HOSPICE INC
Street 1420 RENAISSANCE DR - STE 209
City PARK RIDGE
State IL
ZIP 60068
Phone 847 779-3989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Hospice
Lab Director TORI GARLAND

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