14D0904280 CLIA NUMBER - JOHN VENETOS MD LTD

Laboratory Demographics

  • CLIA Code: 14D0904280
  • Facility Name: JOHN VENETOS MD LTD
  • Facility Address: 2740 W FOSTER 116
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 708 679-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN VENETOS
  • NPI Number: 1952324584
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0904280
LAB Type Physician Office
Facility Name JOHN VENETOS MD LTD
Street 2740 W FOSTER 116
City CHICAGO
State IL
ZIP 60625
Phone 708 679-9900
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 JOHN VENETOS

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