14D0699277 CLIA NUMBER - JAMES KOOP MD LLC

Laboratory Demographics

  • CLIA Code: 14D0699277
  • Facility Name: JAMES KOOP MD LLC
  • Facility Address: 675 W NORTH AV SUITE 409
    MELROSE PARK, IL
    ZIP 60160
  • Facility Phone: 708 450-5070
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES KOOP MD
  • NPI Number: 1255420451
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0699277
LAB Type Physician Office
Facility Name JAMES KOOP MD LLC
Street 675 W NORTH AV SUITE 409
City MELROSE PARK
State IL
ZIP 60160
Phone 708 450-5070
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director JAMES KOOP MD

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