14D2317881 CLIA NUMBER - GENOSCREEN LAB LLC

Laboratory Demographics

  • CLIA Code: 14D2317881
  • Facility Name: GENOSCREEN LAB LLC
  • Facility Address: 1414 E 62ND PLACE
    CHICAGO, IL
    ZIP 60637
  • Facility Phone: 773 782-6355
  • Facility Type: Other - DURG TESTING FACILITY
  • Facility Type: Waiver
  • Lab Director: TONISA N. JAMES
  • NPI Number: 1306652037
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2317881
LAB Type Other - DURG TESTING FACILITY
Facility Name GENOSCREEN LAB LLC
Street 1414 E 62ND PLACE
City CHICAGO
State IL
ZIP 60637
Phone 773 782-6355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Other - DURG TESTING FACILITY
Lab Director TONISA N. JAMES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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