14D2207910 CLIA NUMBER - ASTRA HEALTH WEST ANJUMOHSI INC

Laboratory Demographics

  • CLIA Code: 14D2207910
  • Facility Name: ASTRA HEALTH WEST ANJUMOHSI INC
  • Facility Address: 1707 N RANDALL RD - STE 165
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 583-8998
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARIANTHI GOODWINE
  • NPI Number: 1497991418
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2207910
LAB Type Home Health Agency
Facility Name ASTRA HEALTH WEST ANJUMOHSI INC
Street 1707 N RANDALL RD - STE 165
City ELGIN
State IL
ZIP 60123
Phone 847 583-8998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Home Health Agency
Lab Director MARIANTHI GOODWINE

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