14D1011303 CLIA NUMBER - SILVERCROSS MEDICAL GROUP - LEMONT 150

Laboratory Demographics

  • CLIA Code: 14D1011303
  • Facility Name: SILVERCROSS MEDICAL GROUP - LEMONT 150
  • Facility Address: 15505 127TH STREET - STE 150
    LEMONT, IL
    ZIP 60439
  • Facility Phone: 815 300-6956
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY DEA
  • NPI Number: 1679745210
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1011303
LAB Type Physician Office
Facility Name SILVERCROSS MEDICAL GROUP - LEMONT 150
Street 15505 127TH STREET - STE 150
City LEMONT
State IL
ZIP 60439
Phone 815 300-6956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director MARY DEA

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