14D2315144 CLIA NUMBER - YOUR PRIVATE LABS

Laboratory Demographics

  • CLIA Code: 14D2315144
  • Facility Name: YOUR PRIVATE LABS
  • Facility Address: 422 S MAIN ST - UNIT 2204
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 224 500-7292
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DONNISHA R. HOSKINS
  • NPI Number: 1649076381
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2315144
LAB Type Mobile Laboratory
Facility Name YOUR PRIVATE LABS
Street 422 S MAIN ST - UNIT 2204
City LOMBARD
State IL
ZIP 60148
Phone 224 500-7292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Mobile Laboratory
Lab Director DONNISHA R. HOSKINS

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