14D2303543 CLIA NUMBER - MOBILE LAB SOLUTION

Laboratory Demographics

  • CLIA Code: 14D2303543
  • Facility Name: MOBILE LAB SOLUTION
  • Facility Address: 1524 W 87TH ST
    CHICAGO, IL
    ZIP 60620
  • Facility Phone: 877 662-4522
  • Facility Type: Other - DNA & DRUG PHBLEOTOMY
  • Facility Type: Waiver
  • Lab Director: APRIL C. ADAMS
  • NPI Number: 1164275095
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2303543
LAB Type Other - DNA & DRUG PHBLEOTOMY
Facility Name MOBILE LAB SOLUTION
Street 1524 W 87TH ST
City CHICAGO
State IL
ZIP 60620
Phone 877 662-4522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Other - DNA & DRUG PHBLEOTOMY
Lab Director APRIL C. ADAMS

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This page was last updated on: 3/20/2025