14D1043686 CLIA NUMBER - ANTHONY J MARTINO

Laboratory Demographics

  • CLIA Code: 14D1043686
  • Facility Name: ANTHONY J MARTINO
  • Facility Address: 2225 W NORTH AVE, STE I
    MELROSE PARK, IL
    ZIP 60160
  • Facility Phone: 708 345-8255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. MARTINO
  • NPI Number: 1457319337
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1043686
LAB Type Physician Office
Facility Name ANTHONY J MARTINO
Street 2225 W NORTH AVE, STE I
City MELROSE PARK
State IL
ZIP 60160
Phone 708 345-8255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director ANTHONY J. MARTINO

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