14D2248261 CLIA NUMBER - AIROBICS PULMONARY REHAB

Laboratory Demographics

  • CLIA Code: 14D2248261
  • Facility Name: AIROBICS PULMONARY REHAB
  • Facility Address: 13450 S RIDGELAND AVE
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 897-8666
  • Facility Type: Other - PULMONARY/CARDIAC REHAB
  • Facility Type: Waiver
  • Lab Director: MOUTAZ SUNBULI
  • NPI Number: 1376008581
  • Taxonomy: 2279P1005X - Respiratory Therapist, Registered

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CLIA Record

Field Name Field Value
CLIA Number 14D2248261
LAB Type Other - PULMONARY/CARDIAC REHAB
Facility Name AIROBICS PULMONARY REHAB
Street 13450 S RIDGELAND AVE
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 897-8666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Other - PULMONARY/CARDIAC REHAB
Lab Director MOUTAZ SUNBULI

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