14D2222212 CLIA NUMBER - ELYSIAN HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 14D2222212
  • Facility Name: ELYSIAN HOSPICE, INC
  • Facility Address: 320 E JACKSON - STE 6
    MORTON, IL
    ZIP 61550
  • Facility Phone: 309 699-4715
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HANNAH COLEMAN
  • NPI Number: 1285268326
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2222212
LAB Type Hospice
Facility Name ELYSIAN HOSPICE, INC
Street 320 E JACKSON - STE 6
City MORTON
State IL
ZIP 61550
Phone 309 699-4715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Hospice
Lab Director HANNAH COLEMAN

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