14D2283748 CLIA NUMBER - LIVE IGNITE THRIVE MEDICAL - ADAM WELZIUS NP

Laboratory Demographics

  • CLIA Code: 14D2283748
  • Facility Name: LIVE IGNITE THRIVE MEDICAL - ADAM WELZIUS NP
  • Facility Address: 16533 106TH CT
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 866-5900
  • Facility Type: Other - NURSE PRACTITIONER
  • Facility Type: Waiver
  • Lab Director: ADAM WELDZIUS
  • NPI Number: 1184221004
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2283748
LAB Type Other - NURSE PRACTITIONER
Facility Name LIVE IGNITE THRIVE MEDICAL - ADAM WELZIUS NP
Street 16533 106TH CT
City ORLAND PARK
State IL
ZIP 60467
Phone 708 866-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Other - NURSE PRACTITIONER
Lab Director ADAM WELDZIUS

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