14D2137542 CLIA NUMBER - MEDICAL LAB EXPRESS INC INC

Laboratory Demographics

  • CLIA Code: 14D2137542
  • Facility Name: MEDICAL LAB EXPRESS INC INC
  • Facility Address: 5645 W FULLERTON AVE
    CHICAGO, IL
    ZIP 60639
  • Facility Phone: 773 842-0373
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MANUEL J. GUERRERO
  • NPI Number: 1952815896
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2137542
LAB Type Independent
Facility Name MEDICAL LAB EXPRESS INC INC
Street 5645 W FULLERTON AVE
City CHICAGO
State IL
ZIP 60639
Phone 773 842-0373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Independent
Lab Director MANUEL J. GUERRERO

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