14D2115367 CLIA NUMBER - MARIANO'S PHARMACY #8517

Laboratory Demographics

  • CLIA Code: 14D2115367
  • Facility Name: MARIANO'S PHARMACY #8517
  • Facility Address: 11000 S CICERO AVE
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 346-0726
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARBARA VODNIK
  • NPI Number: 1194133280
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2115367
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY #8517
Street 11000 S CICERO AVE
City OAK LAWN
State IL
ZIP 60453
Phone 708 346-0726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Pharmacy
Lab Director BARBARA VODNIK

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