14D0879352 CLIA NUMBER - MADO HEALTHCARE - OLD TOWN

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CLIA Record

Field Name Field Value
CLIA Number 14D0879352
LAB Type Other
Facility Name MADO HEALTHCARE - OLD TOWN
Street 1121 NORTH ORLEANS ST
City CHICAGO
State IL
ZIP 60610
Phone 312 943-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Other
Lab Director TINA MENIER

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