14D2194490 CLIA NUMBER - OPTIMAL HOMECARE SERVICES, INCORPORATED

Laboratory Demographics

  • CLIA Code: 14D2194490
  • Facility Name: OPTIMAL HOMECARE SERVICES, INCORPORATED
  • Facility Address: 1520 N ROCK RUN DR - STE 11
    CREST HILL, IL
    ZIP 60403
  • Facility Phone: 815 655-8601
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ABIMBOLA OJENGBEDE
  • NPI Number: 1083113344
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2194490
LAB Type Home Health Agency
Facility Name OPTIMAL HOMECARE SERVICES, INCORPORATED
Street 1520 N ROCK RUN DR - STE 11
City CREST HILL
State IL
ZIP 60403
Phone 815 655-8601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Home Health Agency
Lab Director ABIMBOLA OJENGBEDE

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