14D0425500 CLIA NUMBER - TASC INC

Laboratory Demographics

CLIA Number: 14D0425500

Facility Name: TASC INC

Facility Address:
700 S CLINTON ST
CHICAGO, IL
ZIP 60607
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Facility Phone Number: 312 573-8260

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1114385507

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 14D0425500
LAB Type Independent
Facility Name TASC INC
Street 700 S CLINTON ST
City CHICAGO
State IL
ZIP 60607
Phone 312 573-8260
CertificateType 2
CertificateEffectiveDate 2/8/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024