14D2184989 CLIA NUMBER - KODO CARE

Laboratory Demographics

  • CLIA Code: 14D2184989
  • Facility Name: KODO CARE
  • Facility Address: 2401 W JEFFERSON ST
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 727-4722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH LANG
  • NPI Number: 1922416197
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2184989
LAB Type Pharmacy
Facility Name KODO CARE
Street 2401 W JEFFERSON ST
City JOLIET
State IL
ZIP 60435
Phone 815 727-4722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Pharmacy
Lab Director KENNETH LANG

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