14D2204320 CLIA NUMBER - OAK-LEYDEN DEVELOPMENTAL SERVICES

Laboratory Demographics

  • CLIA Code: 14D2204320
  • Facility Name: OAK-LEYDEN DEVELOPMENTAL SERVICES
  • Facility Address: 411 CHICAGO AVE
    OAK PARK, IL
    ZIP 60302
  • Facility Phone: 708 524-1050
  • Facility Type: Other - NONPROFIT RES SERVICES
  • Facility Type: Waiver
  • Lab Director: MARIA J. MARTINEZ
  • NPI Number: 1033254347
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 14D2204320
LAB Type Other - NONPROFIT RES SERVICES
Facility Name OAK-LEYDEN DEVELOPMENTAL SERVICES
Street 411 CHICAGO AVE
City OAK PARK
State IL
ZIP 60302
Phone 708 524-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - NONPROFIT RES SERVICES
Lab Director MARIA J. MARTINEZ

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