14D2281361 CLIA NUMBER - OAK PARK LABORATORY, LLC

Laboratory Demographics

CLIA Number: 14D2281361

Facility Name: OAK PARK LABORATORY, LLC

Facility Address:
6525 NORTH AVE - STE 107
OAK PARK, IL
ZIP 60302
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Facility Phone Number: 773 840-1522

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1326062001

Taxonomy: 261QM1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2281361
LAB Type	Independent
Facility Name	OAK PARK LABORATORY, LLC
Street	6525 NORTH AVE - STE 107
City	OAK PARK
State	IL
ZIP	60302
Phone	773 840-1522
CertificateType	2
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024