14D2160630 CLIA NUMBER - E MEDIATE CURE

Laboratory Demographics

  • CLIA Code: 14D2160630
  • Facility Name: E MEDIATE CURE
  • Facility Address: 1508 ESSINGTON RD - UNIT 5
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 733-5952
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: AMY M. VERTIN
  • NPI Number: 1285482760
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2160630
LAB Type Community Clinic
Facility Name E MEDIATE CURE
Street 1508 ESSINGTON RD - UNIT 5
City JOLIET
State IL
ZIP 60435
Phone 815 733-5952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Community Clinic
Lab Director AMY M. VERTIN

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