14D2024818 CLIA NUMBER - A SAFE HAVEN LLC

Home > CLIA Lookup > 14D2024818

Laboratory Demographics

CLIA Number: 14D2024818

Facility Name: A SAFE HAVEN LLC

Facility Address:
15507 CICERO AVE, 2ND FL
OAK FOREST, IL
ZIP 60452
Get Directions

Facility Phone Number: (773) 435-8462

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1124206800

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2024818
LAB Type	OTHER
Facility Name	A SAFE HAVEN LLC
Street	15507 CICERO AVE, 2ND FL
City	OAK FOREST
State	IL
ZIP	60452
Phone	(773) 435-8462

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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