14D2167446 CLIA NUMBER - WAUKEGAN HOSPICE L L C

Laboratory Demographics

  • CLIA Code: 14D2167446
  • Facility Name: WAUKEGAN HOSPICE L L C
  • Facility Address: 36100 BROOKSIDE DR - STE 201
    GURNEE, IL
    ZIP 60031
  • Facility Phone: (224) 944-5971
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KRISTY LORENZEN
  • NPI Number: 1477505139
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2167446
LAB Type Home Health Agency
Facility Name WAUKEGAN HOSPICE L L C
Street 36100 BROOKSIDE DR - STE 201
City GURNEE
State IL
ZIP 60031
Phone 2249445971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Home Health Agency
Lab Director KRISTY LORENZEN

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This page was last updated on: 5/18/2026