14D2063167 CLIA NUMBER - RONALD S WEISS M D S C

Laboratory Demographics

  • CLIA Code: 14D2063167
  • Facility Name: RONALD S WEISS M D S C
  • Facility Address: 4401 S HARLEM AVE
    STICKNEY, IL
    ZIP 60402
  • Facility Phone: 708 788-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD S. WEISS
  • NPI Number: 1912910019
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2063167
LAB Type Physician Office
Facility Name RONALD S WEISS M D S C
Street 4401 S HARLEM AVE
City STICKNEY
State IL
ZIP 60402
Phone 708 788-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director RONALD S. WEISS

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