14D2264344 CLIA NUMBER - JEANE HELEN CARE & DEVELOPMENT CENTER

Laboratory Demographics

  • CLIA Code: 14D2264344
  • Facility Name: JEANE HELEN CARE & DEVELOPMENT CENTER
  • Facility Address: 18220 HARWOOD AVE
    HOMEWOOD, IL
    ZIP 60430
  • Facility Phone: 708 490-7645
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CLARETHA T. SMITH
  • NPI Number: 1992456719
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2264344
LAB Type Mobile Laboratory
Facility Name JEANE HELEN CARE & DEVELOPMENT CENTER
Street 18220 HARWOOD AVE
City HOMEWOOD
State IL
ZIP 60430
Phone 708 490-7645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Mobile Laboratory
Lab Director CLARETHA T. SMITH

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