14D2046862 CLIA NUMBER - FERTILITY BABIES

Laboratory Demographics

  • CLIA Code: 14D2046862
  • Facility Name: FERTILITY BABIES
  • Facility Address: 14434 JOHN HUMPHREY
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 226-0556
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KETAN JOBANPUTRA M D
  • NPI Number: 1063772200
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2046862
LAB Type Independent
Facility Name FERTILITY BABIES
Street 14434 JOHN HUMPHREY
City ORLAND PARK
State IL
ZIP 60462
Phone 708 226-0556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Independent
Lab Director KETAN JOBANPUTRA M D

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