14D2143532 CLIA NUMBER - SYMETRIA - PALOS HTS OTPT REHAB & SUBOXONE CLINIC

Laboratory Demographics

  • CLIA Code: 14D2143532
  • Facility Name: SYMETRIA - PALOS HTS OTPT REHAB & SUBOXONE CLINIC
  • Facility Address: 11925 S HARLEM AVE
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 608-9065
  • Facility Type: Other - OUTPATIENT SUB ABUSE CL
  • Facility Type: Waiver
  • Lab Director: ERIKA STEINBRENNER
  • NPI Number: 1609306174
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2143532
LAB Type Other - OUTPATIENT SUB ABUSE CL
Facility Name SYMETRIA - PALOS HTS OTPT REHAB & SUBOXONE CLINIC
Street 11925 S HARLEM AVE
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 608-9065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Other - OUTPATIENT SUB ABUSE CL
Lab Director ERIKA STEINBRENNER

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