14D2008106 CLIA NUMBER - HEALTHSTOP

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Laboratory Demographics

CLIA Number: 14D2008106

Facility Name: HEALTHSTOP

Facility Address:
3635 S HARLEM AVE
BERWYN, IL
ZIP 60402
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Facility Phone Number: (708) 447-9402

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1184701328

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

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