14D2176930 CLIA NUMBER - MINIS INC

Laboratory Demographics

  • CLIA Code: 14D2176930
  • Facility Name: MINIS INC
  • Facility Address: 9939 SOUTHWEST HIGHWAY
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 424-0909
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAWDA AYMAN
  • NPI Number: 1386298362
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2176930
LAB Type Physician Office
Facility Name MINIS INC
Street 9939 SOUTHWEST HIGHWAY
City OAK LAWN
State IL
ZIP 60453
Phone 708 424-0909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director RAWDA AYMAN

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