14D2133761 CLIA NUMBER - SUNCREST HOSPICE ILLINOIS

Laboratory Demographics

  • CLIA Code: 14D2133761
  • Facility Name: SUNCREST HOSPICE ILLINOIS
  • Facility Address: 5 REVERE DR - STE 130
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 983-0017
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAWN ANDERSEN
  • NPI Number: 1003340050
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2133761
LAB Type Hospice
Facility Name SUNCREST HOSPICE ILLINOIS
Street 5 REVERE DR - STE 130
City NORTHBROOK
State IL
ZIP 60062
Phone 847 983-0017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Hospice
Lab Director DAWN ANDERSEN

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