14D2149145 CLIA NUMBER - MAINSTAY CLINICS INC

Laboratory Demographics

  • CLIA Code: 14D2149145
  • Facility Name: MAINSTAY CLINICS INC
  • Facility Address: 333 PETERSON RD - STE 240
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 224 864-2124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALPHA JAROSZ
  • NPI Number: 1053816405
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2149145
LAB Type Physician Office
Facility Name MAINSTAY CLINICS INC
Street 333 PETERSON RD - STE 240
City LIBERTYVILLE
State IL
ZIP 60048
Phone 224 864-2124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director ALPHA JAROSZ

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