14D2176930 CLIA NUMBER - MINIS INC

Laboratory Demographics

CLIA Number: 14D2176930

Facility Name: MINIS INC

Facility Address:
9939 SOUTHWEST HIGHWAY
OAK LAWN, IL
ZIP 60453
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Facility Phone Number: 708 424-0909

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386298362

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType 4
CertificateEffectiveDate 12/30/2023
CertificateExpirationDate 12/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024