14D2254288 CLIA NUMBER - REESTABLISHING HOPE INC

Laboratory Demographics

  • CLIA Code: 14D2254288
  • Facility Name: REESTABLISHING HOPE INC
  • Facility Address: 17577 S KEDZIE AVE
    HAZEL CREST, IL
    ZIP 60429
  • Facility Phone: 815 418-6577
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY THEUS
  • NPI Number: 1528531639
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2254288
LAB Type Comp. Outpatient Rehab Facility
Facility Name REESTABLISHING HOPE INC
Street 17577 S KEDZIE AVE
City HAZEL CREST
State IL
ZIP 60429
Phone 815 418-6577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director TIFFANY THEUS

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