14D0953821 CLIA NUMBER - THOMAS & THOMAS MEDICAL LTD

Laboratory Demographics

  • CLIA Code: 14D0953821
  • Facility Name: THOMAS & THOMAS MEDICAL LTD
  • Facility Address: 3915 W OGLESBY AVE, STE 1
    GURNEE, IL
    ZIP 60031
  • Facility Phone: 847 336-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAYA THOMAS M D
  • NPI Number: 1427090125
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D0953821
LAB Type Physician Office
Facility Name THOMAS & THOMAS MEDICAL LTD
Street 3915 W OGLESBY AVE, STE 1
City GURNEE
State IL
ZIP 60031
Phone 847 336-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director JAYA THOMAS M D

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