14D2181361 CLIA NUMBER - WELLNESS MEDICAL, S C

Laboratory Demographics

  • CLIA Code: 14D2181361
  • Facility Name: WELLNESS MEDICAL, S C
  • Facility Address: 18037 TORRENCE AVE
    LANSING, IL
    ZIP 60438
  • Facility Phone: 708 895-3228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY K. DURNIN
  • NPI Number: 1992839666
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D2181361
LAB Type Physician Office
Facility Name WELLNESS MEDICAL, S C
Street 18037 TORRENCE AVE
City LANSING
State IL
ZIP 60438
Phone 708 895-3228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director TIMOTHY K. DURNIN

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