14D0675320 CLIA NUMBER - HEALTH SERVICES SYSTEMS INC

Laboratory Demographics

  • CLIA Code: 14D0675320
  • Facility Name: HEALTH SERVICES SYSTEMS INC
  • Facility Address: 21205 OWENS RD STE 3
    MOKENA, IL
    ZIP 60448
  • Facility Phone: 815 469-2123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. DEMAERTELAERE
  • NPI Number: 1326111600
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0675320
LAB Type Physician Office
Facility Name HEALTH SERVICES SYSTEMS INC
Street 21205 OWENS RD STE 3
City MOKENA
State IL
ZIP 60448
Phone 815 469-2123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director MICHAEL R. DEMAERTELAERE

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