14D2247612 CLIA NUMBER - A 1 LAB INC

Laboratory Demographics

  • CLIA Code: 14D2247612
  • Facility Name: A 1 LAB INC
  • Facility Address: 2142 W ROSEMONT AVE - APT 4B
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 980 327-6474
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: VENKATA R. BALI
  • NPI Number: 1497416861
  • Taxonomy: 246RM2200X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2247612
LAB Type Independent
Facility Name A 1 LAB INC
Street 2142 W ROSEMONT AVE - APT 4B
City CHICAGO
State IL
ZIP 60659
Phone 980 327-6474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Independent
Lab Director VENKATA R. BALI

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