14D2209249 CLIA NUMBER - LIGHTHOUSE HOSPICE CARE, L L C

Laboratory Demographics

  • CLIA Code: 14D2209249
  • Facility Name: LIGHTHOUSE HOSPICE CARE, L L C
  • Facility Address: 648 N RIVER RD - STE 100
    NAPERVILLE, IL
    ZIP 60563
  • Facility Phone: 331 472-4706
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ISAAC OSHIPITAN
  • NPI Number: 1982204699
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2209249
LAB Type Hospice
Facility Name LIGHTHOUSE HOSPICE CARE, L L C
Street 648 N RIVER RD - STE 100
City NAPERVILLE
State IL
ZIP 60563
Phone 331 472-4706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Hospice
Lab Director ISAAC OSHIPITAN

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