14D2320480 CLIA NUMBER - MOBILE HEALTH LABS LLC

Laboratory Demographics

  • CLIA Code: 14D2320480
  • Facility Name: MOBILE HEALTH LABS LLC
  • Facility Address: 2644 E DEMPSTER ST - STE 202
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 224 361-3054
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: NINEF J. ISHOO
  • NPI Number: 1760072292
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2320480
LAB Type Independent
Facility Name MOBILE HEALTH LABS LLC
Street 2644 E DEMPSTER ST - STE 202
City PARK RIDGE
State IL
ZIP 60068
Phone 224 361-3054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Independent
Lab Director NINEF J. ISHOO

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