14D2313462 CLIA NUMBER - FAIS REFERENCE LABS INC

Laboratory Demographics

  • CLIA Code: 14D2313462
  • Facility Name: FAIS REFERENCE LABS INC
  • Facility Address: 475 BROWN BLVD - STE 103
    BOURBONNAIS, IL
    ZIP 60914
  • Facility Phone: 815 936-8962
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: THOMAS S. HAAS
  • NPI Number: 1588484083
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2313462
LAB Type Independent
Facility Name FAIS REFERENCE LABS INC
Street 475 BROWN BLVD - STE 103
City BOURBONNAIS
State IL
ZIP 60914
Phone 815 936-8962
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Independent
Lab Director THOMAS S. HAAS

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