14D2166201 CLIA NUMBER - ILLINOIS I V F L L C

Laboratory Demographics

  • CLIA Code: 14D2166201
  • Facility Name: ILLINOIS I V F L L C
  • Facility Address: 4333 MAIN ST
    DOWNERS GROVE, IL
    ZIP 60515
  • Facility Phone: 630 810-0212
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. AMOS MADANES
  • NPI Number: 1609431469
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2166201
LAB Type Independent
Facility Name ILLINOIS I V F L L C
Street 4333 MAIN ST
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 810-0212
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Independent
Lab Director DR. AMOS MADANES

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