14D1049387 CLIA NUMBER - MILAN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D1049387
  • Facility Name: MILAN MEDICAL GROUP
  • Facility Address: 1929 E 10TH AVE
    MILAN, IL
    ZIP 61264
  • Facility Phone: 309 787-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY LANK
  • NPI Number: 1346362589
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 14D1049387
LAB Type Physician Office
Facility Name MILAN MEDICAL GROUP
Street 1929 E 10TH AVE
City MILAN
State IL
ZIP 61264
Phone 309 787-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director NANCY LANK

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