14D2107989 CLIA NUMBER - VASCULAR SPECIALISTS

Laboratory Demographics

  • CLIA Code: 14D2107989
  • Facility Name: VASCULAR SPECIALISTS
  • Facility Address: 8505 183RD ST - STE A
    TINLEY PARK, IL
    ZIP 60487
  • Facility Phone: 815 824-4406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE M. TANQUILUT DO
  • NPI Number: 1992126668
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2107989
LAB Type Physician Office
Facility Name VASCULAR SPECIALISTS
Street 8505 183RD ST - STE A
City TINLEY PARK
State IL
ZIP 60487
Phone 815 824-4406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director EUGENE M. TANQUILUT DO

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This page was last updated on: 6/4/2025