14D2179629 CLIA NUMBER - MY HOME NURSES LLC

Laboratory Demographics

  • CLIA Code: 14D2179629
  • Facility Name: MY HOME NURSES LLC
  • Facility Address: 924 E HYDE PARK BLVD - #5100
    CHICAGO, IL
    ZIP 60615
  • Facility Phone: 708 801-8662
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANNIE TCHINJO
  • NPI Number: 1114574324
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 14D2179629
LAB Type Home Health Agency
Facility Name MY HOME NURSES LLC
Street 924 E HYDE PARK BLVD - #5100
City CHICAGO
State IL
ZIP 60615
Phone 708 801-8662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Home Health Agency
Lab Director ANNIE TCHINJO

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