14D2196905 CLIA NUMBER - MEDICATION MANAGEMENT PARTNERS L L C

Laboratory Demographics

  • CLIA Code: 14D2196905
  • Facility Name: MEDICATION MANAGEMENT PARTNERS L L C
  • Facility Address: 13601 KENTON
    CRESTWOOD, IL
    ZIP 60418
  • Facility Phone: 877 752-8046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN R. WINDBERG
  • NPI Number: 1740512094
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2196905
LAB Type Pharmacy
Facility Name MEDICATION MANAGEMENT PARTNERS L L C
Street 13601 KENTON
City CRESTWOOD
State IL
ZIP 60418
Phone 877 752-8046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Pharmacy
Lab Director STEVEN R. WINDBERG

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This page was last updated on: 6/4/2025