14D2255429 CLIA NUMBER - BEST MED SPA LLC

Laboratory Demographics

  • CLIA Code: 14D2255429
  • Facility Name: BEST MED SPA LLC
  • Facility Address: 426 KEVIN WAY
    MATTESON, IL
    ZIP 60443
  • Facility Phone: (773) 216-3223
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TAWAKALIT F. ALAO
  • NPI Number: 1356096929
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 14D2255429
LAB Type Mobile Laboratory
Facility Name BEST MED SPA LLC
Street 426 KEVIN WAY
City MATTESON
State IL
ZIP 60443
Phone 7732163223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2026
Certificate Expiration Date 3/14/2028
Facility Type Mobile Laboratory
Lab Director TAWAKALIT F. ALAO

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This page was last updated on: 5/18/2026