14D2253709 CLIA NUMBER - ILLINIOS TECH LABS INC

Laboratory Demographics

  • CLIA Code: 14D2253709
  • Facility Name: ILLINIOS TECH LABS INC
  • Facility Address: 9150 CRAWFORD AVE - STE 104
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 773 751-8222
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DAMODARA R. MENDU
  • NPI Number: 1811658024
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2253709
LAB Type Independent
Facility Name ILLINIOS TECH LABS INC
Street 9150 CRAWFORD AVE - STE 104
City SKOKIE
State IL
ZIP 60076
Phone 773 751-8222
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Independent
Lab Director DAMODARA R. MENDU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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