14D2311723 CLIA NUMBER - A BALANCED LIFE

Laboratory Demographics

  • CLIA Code: 14D2311723
  • Facility Name: A BALANCED LIFE
  • Facility Address: 370 E COURTLAND ST
    MORTON, IL
    ZIP 61550
  • Facility Phone: 309 291-0899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL AHEARN
  • NPI Number: 1003270802
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 14D2311723
LAB Type Physician Office
Facility Name A BALANCED LIFE
Street 370 E COURTLAND ST
City MORTON
State IL
ZIP 61550
Phone 309 291-0899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director MICHAEL AHEARN

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