14D1078615 CLIA NUMBER - ANGELA INTILI M D LTD

Laboratory Demographics

  • CLIA Code: 14D1078615
  • Facility Name: ANGELA INTILI M D LTD
  • Facility Address: 1415 ESSINGTON RD
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 729-2084
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA INTILI M D
  • NPI Number: 1114080033
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D1078615
LAB Type Physician Office
Facility Name ANGELA INTILI M D LTD
Street 1415 ESSINGTON RD
City JOLIET
State IL
ZIP 60435
Phone 815 729-2084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director ANGELA INTILI M D

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