14D2310310 CLIA NUMBER - GLOBAL MOBILE LAB

Laboratory Demographics

  • CLIA Code: 14D2310310
  • Facility Name: GLOBAL MOBILE LAB
  • Facility Address: 7627 LAKE ST - STE 206
    RIVER FOREST, IL
    ZIP 60305
  • Facility Phone: 773 343-6512
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DENISE MOORE
  • NPI Number: 1487538245
  • Taxonomy: 246Q00000X - Specialist/Technologist, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2310310
LAB Type Mobile Laboratory
Facility Name GLOBAL MOBILE LAB
Street 7627 LAKE ST - STE 206
City RIVER FOREST
State IL
ZIP 60305
Phone 773 343-6512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Mobile Laboratory
Lab Director DENISE MOORE

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