14D0974260 CLIA NUMBER - NILES MEDICAL S C

Laboratory Demographics

  • CLIA Code: 14D0974260
  • Facility Name: NILES MEDICAL S C
  • Facility Address: 6954 E TOUHY AVE
    NILES, IL
    ZIP 60714
  • Facility Phone: 847 647-1771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN J. ADAMSKI MD JR
  • NPI Number: 1043469372
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0974260
LAB Type Physician Office
Facility Name NILES MEDICAL S C
Street 6954 E TOUHY AVE
City NILES
State IL
ZIP 60714
Phone 847 647-1771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director EDWIN J. ADAMSKI MD JR

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