14D2164169 CLIA NUMBER - PHYSICALS PLUS

Laboratory Demographics

  • CLIA Code: 14D2164169
  • Facility Name: PHYSICALS PLUS
  • Facility Address: 19740 GOVERNORS HIGHWAY - STE 116
    FLOSSMOOR, IL
    ZIP 60422
  • Facility Phone: 708 607-2503
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: APRIL ODOM
  • NPI Number: 1659839983
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 14D2164169
LAB Type Practitioner Other
Facility Name PHYSICALS PLUS
Street 19740 GOVERNORS HIGHWAY - STE 116
City FLOSSMOOR
State IL
ZIP 60422
Phone 708 607-2503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Practitioner Other
Lab Director APRIL ODOM

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