14D1098276 CLIA NUMBER - HOLISTIC SCIENCE PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 14D1098276
  • Facility Name: HOLISTIC SCIENCE PAIN CLINIC
  • Facility Address: 105 129TH INFANTRY DRIVE
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 725-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASAD A. CHEEMA
  • NPI Number: 1205221124
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1098276
LAB Type Physician Office
Facility Name HOLISTIC SCIENCE PAIN CLINIC
Street 105 129TH INFANTRY DRIVE
City JOLIET
State IL
ZIP 60435
Phone 815 725-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director ASAD A. CHEEMA

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