14D0416770 CLIA NUMBER - VILLA MEDICAL ARTS

Laboratory Demographics

  • CLIA Code: 14D0416770
  • Facility Name: VILLA MEDICAL ARTS
  • Facility Address: 33 S VILLA AVE, STE 2
    VILLA PARK, IL
    ZIP 60181
  • Facility Phone: 630 832-9000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: INNA MILGRAM MD
  • NPI Number: 1124058029
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0416770
LAB Type Community Clinic
Facility Name VILLA MEDICAL ARTS
Street 33 S VILLA AVE, STE 2
City VILLA PARK
State IL
ZIP 60181
Phone 630 832-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Community Clinic
Lab Director INNA MILGRAM MD

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