14D2202688 CLIA NUMBER - CTF ILLINOIS

Laboratory Demographics

  • CLIA Code: 14D2202688
  • Facility Name: CTF ILLINOIS
  • Facility Address: 18230 ORLAND PARKWAY
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 429-1260
  • Facility Type: Other - RESIDENTIAL DAY PROGRAM
  • Facility Type: Waiver
  • Lab Director: JESSICA PANCHECO
  • NPI Number: 1356706881
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2202688
LAB Type Other - RESIDENTIAL DAY PROGRAM
Facility Name CTF ILLINOIS
Street 18230 ORLAND PARKWAY
City ORLAND PARK
State IL
ZIP 60467
Phone 708 429-1260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Other - RESIDENTIAL DAY PROGRAM
Lab Director JESSICA PANCHECO

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