14D1056232 CLIA NUMBER - HANOVER TOWNSHIP

Laboratory Demographics

  • CLIA Code: 14D1056232
  • Facility Name: HANOVER TOWNSHIP
  • Facility Address: 240 S ILLINOIS ROUTE 59
    BARTLETT, IL
    ZIP 60103
  • Facility Phone: 630 483-5665
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: KRISTEN L. SMITH
  • NPI Number: 1104990993
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1056232
LAB Type Public Health Laboratories
Facility Name HANOVER TOWNSHIP
Street 240 S ILLINOIS ROUTE 59
City BARTLETT
State IL
ZIP 60103
Phone 630 483-5665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Public Health Laboratories
Lab Director KRISTEN L. SMITH

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