14D2214653 CLIA NUMBER - LYDIA HOME ASSOCIATION

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CLIA Record

Field Name Field Value
CLIA Number 14D2214653
LAB Type Other - CHILDREN HOME
Facility Name LYDIA HOME ASSOCIATION
Street 4300 W IRVING PARK RD
City CHICAGO
State IL
ZIP 60641
Phone 773 653-2221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Other - CHILDREN HOME
Lab Director JON EBERSOL

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