14D2273615 CLIA NUMBER - OCTIHEALTH, INC

Laboratory Demographics

  • CLIA Code: 14D2273615
  • Facility Name: OCTIHEALTH, INC
  • Facility Address: 350 W KENSINGTON RD - UNIT 114
    MOUNT PROSPECT, IL
    ZIP 60056
  • Facility Phone: 847 305-5484
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA WILSON
  • NPI Number: 1730764283
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2273615
LAB Type Home Health Agency
Facility Name OCTIHEALTH, INC
Street 350 W KENSINGTON RD - UNIT 114
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 305-5484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Home Health Agency
Lab Director ANGELA WILSON

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