14D2273091 CLIA NUMBER - BRISTOL HOSPICE - CHICAGO LLC

Laboratory Demographics

  • CLIA Code: 14D2273091
  • Facility Name: BRISTOL HOSPICE - CHICAGO LLC
  • Facility Address: 701 LEE ST - STE 480
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: (872) 777-1750
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SACHIN JAIN
  • NPI Number: 1104548478
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2273091
LAB Type Hospice
Facility Name BRISTOL HOSPICE - CHICAGO LLC
Street 701 LEE ST - STE 480
City DES PLAINES
State IL
ZIP 60016
Phone 8727771750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Hospice
Lab Director SACHIN JAIN

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This page was last updated on: 5/18/2026