14D2318868 CLIA NUMBER - CARING PROFESSIONAL HOSPICE INC

Laboratory Demographics

  • CLIA Code: 14D2318868
  • Facility Name: CARING PROFESSIONAL HOSPICE INC
  • Facility Address: 3458 W PETERSON AVE
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 773 598-8989
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUSAN K. KIM
  • NPI Number: 1679322010
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2318868
LAB Type Hospice
Facility Name CARING PROFESSIONAL HOSPICE INC
Street 3458 W PETERSON AVE
City CHICAGO
State IL
ZIP 60659
Phone 773 598-8989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Hospice
Lab Director SUSAN K. KIM

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