14D2263644 CLIA NUMBER - GEETHA M REDDY, MD, FACC

Laboratory Demographics

  • CLIA Code: 14D2263644
  • Facility Name: GEETHA M REDDY, MD, FACC
  • Facility Address: 1880 W WINCHESTER RD - STE 207
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 816-3703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEETHA M. REDDY
  • NPI Number: 1174545453
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2263644
LAB Type Physician Office
Facility Name GEETHA M REDDY, MD, FACC
Street 1880 W WINCHESTER RD - STE 207
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 816-3703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director GEETHA M. REDDY

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