14D2062768 CLIA NUMBER - THE O M S LTD (OCCUPATIONAL MEDICINE SPECIALISTS)

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Laboratory Demographics

CLIA Number: 14D2062768

Facility Name: THE O M S LTD (OCCUPATIONAL MEDICINE SPECIALISTS)

Facility Address:
300 W ADAMS ST, STE 835
CHICAGO, IL
ZIP 60606
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Facility Phone Number: 312 762-2959

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053503490

Taxonomy: 261QC1800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2062768
LAB Type	Physician Office
Facility Name	THE O M S LTD (OCCUPATIONAL MEDICINE SPECIALISTS)
Street	300 W ADAMS ST, STE 835
City	CHICAGO
State	IL
ZIP	60606
Phone	312 762-2959
CertificateType	4
CertificateEffectiveDate	7/22/2023
CertificateExpirationDate	7/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024