14D2248650 CLIA NUMBER - TBF DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 14D2248650
  • Facility Name: TBF DIAGNOSTIC
  • Facility Address: 9150 N CRAWFORD AVE L-1
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 224 999-7624
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LARRY WILKES
  • NPI Number: 1083375893
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2248650
LAB Type Mobile Laboratory
Facility Name TBF DIAGNOSTIC
Street 9150 N CRAWFORD AVE L-1
City SKOKIE
State IL
ZIP 60076
Phone 224 999-7624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Mobile Laboratory
Lab Director LARRY WILKES

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