14D2323806 CLIA NUMBER - AUSTIN - CLEETUS LTD

Laboratory Demographics

  • CLIA Code: 14D2323806
  • Facility Name: AUSTIN - CLEETUS LTD
  • Facility Address: 17W685 W ROOSEVELT RD
    OAKBROOK TERRACE, IL
    ZIP 60181
  • Facility Phone: 630 916-8282
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHANNA K. LINGK
  • NPI Number: 1710735337
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 14D2323806
LAB Type Physician Office
Facility Name AUSTIN - CLEETUS LTD
Street 17W685 W ROOSEVELT RD
City OAKBROOK TERRACE
State IL
ZIP 60181
Phone 630 916-8282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director JOHANNA K. LINGK

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