14D2026189 CLIA NUMBER - K G A PHLEBOTOMIST INC

Laboratory Demographics

  • CLIA Code: 14D2026189
  • Facility Name: K G A PHLEBOTOMIST INC
  • Facility Address: 10714 S ROBERTS RD
    PALOS HILLS, IL
    ZIP 60465
  • Facility Phone: (815) 616-2906
  • Facility Type: Other - ONSITE GLUCOSE & PT/INR
  • Facility Type: Waiver
  • Lab Director: ROHIT KUMAR
  • NPI Number: 1235566753
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2026189
LAB Type Other - ONSITE GLUCOSE & PT/INR
Facility Name K G A PHLEBOTOMIST INC
Street 10714 S ROBERTS RD
City PALOS HILLS
State IL
ZIP 60465
Phone 8156162906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - ONSITE GLUCOSE & PT/INR
Lab Director ROHIT KUMAR

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This page was last updated on: 5/18/2026