14D2255568 CLIA NUMBER - NOTARY SIGN CHICAGO LLC

Laboratory Demographics

  • CLIA Code: 14D2255568
  • Facility Name: NOTARY SIGN CHICAGO LLC
  • Facility Address: 3955 W IRVING PARK RD
    CHICAGO, IL
    ZIP 60618
  • Facility Phone: 312 468-3556
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JASMEKA N. BOYD
  • NPI Number: 1821740481
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2255568
LAB Type Independent
Facility Name NOTARY SIGN CHICAGO LLC
Street 3955 W IRVING PARK RD
City CHICAGO
State IL
ZIP 60618
Phone 312 468-3556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Independent
Lab Director JASMEKA N. BOYD

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