14D2267462 CLIA NUMBER - NOVA HOSPICE CARE, LLC

Laboratory Demographics

  • CLIA Code: 14D2267462
  • Facility Name: NOVA HOSPICE CARE, LLC
  • Facility Address: 7370 N LINCOLN AVE - STE D
    LINCOLNWOOD, IL
    ZIP 60712
  • Facility Phone: 800 520-1948
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RONALD E. SAM
  • NPI Number: 1376114660
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2267462
LAB Type Hospice
Facility Name NOVA HOSPICE CARE, LLC
Street 7370 N LINCOLN AVE - STE D
City LINCOLNWOOD
State IL
ZIP 60712
Phone 800 520-1948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Hospice
Lab Director RONALD E. SAM

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