14D1056232 CLIA NUMBER - HANOVER TOWNSHIP

Laboratory Demographics

CLIA Number: 14D1056232

Facility Name: HANOVER TOWNSHIP

Facility Address:
240 S ILLINOIS ROUTE 59
BARTLETT, IL
ZIP 60103
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Facility Phone Number: (630) 483-5665

Facility Type: PUBLIC HEALTH LABORATORY

Certificate Type: Waiver

NPI Number: 1104990993

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1056232
LAB Type	PUBLIC HEALTH LABORATORY
Facility Name	HANOVER TOWNSHIP
Street	240 S ILLINOIS ROUTE 59
City	BARTLETT
State	IL
ZIP	60103
Phone	(630) 483-5665

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This page was last updated on: 5/11/2023