14D0988000 CLIA NUMBER - MANUEL A MALICAY MD

Laboratory Demographics

  • CLIA Code: 14D0988000
  • Facility Name: MANUEL A MALICAY MD
  • Facility Address: 402-F WEST BOUGHTON ROAD
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 759-3782
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL A. MALICAY MD
  • NPI Number: 1326196411
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0988000
LAB Type Physician Office
Facility Name MANUEL A MALICAY MD
Street 402-F WEST BOUGHTON ROAD
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 759-3782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director MANUEL A. MALICAY MD

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