14D2256087 CLIA NUMBER - GOAT MASS SWABS INC

Laboratory Demographics

  • CLIA Code: 14D2256087
  • Facility Name: GOAT MASS SWABS INC
  • Facility Address: 201 W GALENA BLVD
    AURORA, IL
    ZIP 60506
  • Facility Phone: 630 863-8246
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MIR MOUZAM ALI SALMAN
  • NPI Number: 1174266787
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2256087
LAB Type Independent
Facility Name GOAT MASS SWABS INC
Street 201 W GALENA BLVD
City AURORA
State IL
ZIP 60506
Phone 630 863-8246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Independent
Lab Director MIR MOUZAM ALI SALMAN

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