14D1052159 CLIA NUMBER - PALOS TOWNSHIP HEALTH SERVICE

Laboratory Demographics

  • CLIA Code: 14D1052159
  • Facility Name: PALOS TOWNSHIP HEALTH SERVICE
  • Facility Address: 10802 ROBERTS ROAD
    PALOS HILLS, IL
    ZIP 60465
  • Facility Phone: (708) 598-2441
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ALICIA L. VODICKA
  • NPI Number: 1285880740
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 14D1052159
LAB Type Other
Facility Name PALOS TOWNSHIP HEALTH SERVICE
Street 10802 ROBERTS ROAD
City PALOS HILLS
State IL
ZIP 60465
Phone 7085982441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2026
Certificate Expiration Date 3/19/2028
Facility Type Other
Lab Director ALICIA L. VODICKA

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This page was last updated on: 5/18/2026