14D2132781 CLIA NUMBER - ACTIVE DAY OF HOMEWOOD

Laboratory Demographics

  • CLIA Code: 14D2132781
  • Facility Name: ACTIVE DAY OF HOMEWOOD
  • Facility Address: 1818 RIDGE ROAD, 1 WEST
    HOMEWOOD, IL
    ZIP 60430
  • Facility Phone: 708 957-4365
  • Facility Type: Other - ADULT DAY CARE
  • Facility Type: Waiver
  • Lab Director: LAURA ALTENBAUMER
  • NPI Number: 1881139715
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2132781
LAB Type Other - ADULT DAY CARE
Facility Name ACTIVE DAY OF HOMEWOOD
Street 1818 RIDGE ROAD, 1 WEST
City HOMEWOOD
State IL
ZIP 60430
Phone 708 957-4365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - ADULT DAY CARE
Lab Director LAURA ALTENBAUMER

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