14D2194110 CLIA NUMBER - VIP LABS LLC

Laboratory Demographics

  • CLIA Code: 14D2194110
  • Facility Name: VIP LABS LLC
  • Facility Address: 722 W EXCHANGE ST - STE 2
    CRETE, IL
    ZIP 60417
  • Facility Phone: 708 852-3171
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: WILLIAM RUTLAND
  • NPI Number: 1952915506
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2194110
LAB Type Independent
Facility Name VIP LABS LLC
Street 722 W EXCHANGE ST - STE 2
City CRETE
State IL
ZIP 60417
Phone 708 852-3171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Independent
Lab Director WILLIAM RUTLAND

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