14D2289910 CLIA NUMBER - FAMILY FIRST HOMECARE OF SOUTHERN ILLINOIS

Laboratory Demographics

  • CLIA Code: 14D2289910
  • Facility Name: FAMILY FIRST HOMECARE OF SOUTHERN ILLINOIS
  • Facility Address: 10 GLEN ED PROFESSIONAL PARK
    GLEN CARBON, IL
    ZIP 62034
  • Facility Phone: 618 659-2273
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA ROBERTS
  • NPI Number: 1831184647
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 14D2289910
LAB Type Home Health Agency
Facility Name FAMILY FIRST HOMECARE OF SOUTHERN ILLINOIS
Street 10 GLEN ED PROFESSIONAL PARK
City GLEN CARBON
State IL
ZIP 62034
Phone 618 659-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Home Health Agency
Lab Director BRENDA ROBERTS

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