14D2008106 CLIA NUMBER - HEALTHSTOP

Laboratory Demographics

  • CLIA Code: 14D2008106
  • Facility Name: HEALTHSTOP
  • Facility Address: 3635 S HARLEM AVE
    BERWYN, IL
    ZIP 60402
  • Facility Phone: 708 447-9402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOHAR JETHANI M D
  • NPI Number: 1184701328
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2008106
LAB Type Physician Office
Facility Name HEALTHSTOP
Street 3635 S HARLEM AVE
City BERWYN
State IL
ZIP 60402
Phone 708 447-9402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director MANOHAR JETHANI M D

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