14D2270769 CLIA NUMBER - QC PHLEBOTOMY LABS INC

Laboratory Demographics

  • CLIA Code: 14D2270769
  • Facility Name: QC PHLEBOTOMY LABS INC
  • Facility Address: 1723 SIMMS # 202
    AURORA, IL
    ZIP 60504
  • Facility Phone: 773 732-2877
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: NINA SHUMATE
  • NPI Number: 1053073049
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2270769
LAB Type Mobile Laboratory
Facility Name QC PHLEBOTOMY LABS INC
Street 1723 SIMMS # 202
City AURORA
State IL
ZIP 60504
Phone 773 732-2877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Mobile Laboratory
Lab Director NINA SHUMATE

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