14D2067957 CLIA NUMBER - MARIA LENTZOU M D S C

Laboratory Demographics

  • CLIA Code: 14D2067957
  • Facility Name: MARIA LENTZOU M D S C
  • Facility Address: 12050 S HARLEM AVE, UNIT A
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 671-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA LENTZOU M D
  • NPI Number: 1124071139
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2067957
LAB Type Physician Office
Facility Name MARIA LENTZOU M D S C
Street 12050 S HARLEM AVE, UNIT A
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 671-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director MARIA LENTZOU M D

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