14D2329478 CLIA NUMBER - PRISM DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 14D2329478
  • Facility Name: PRISM DIAGNOSTICS LLC
  • Facility Address: 119 E PALATINE RD - STE 107
    PALATINE, IL
    ZIP 60067
  • Facility Phone: 848 210-7197
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SAI G. KATTA
  • NPI Number: 1437039054
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2329478
LAB Type Independent
Facility Name PRISM DIAGNOSTICS LLC
Street 119 E PALATINE RD - STE 107
City PALATINE
State IL
ZIP 60067
Phone 848 210-7197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Independent
Lab Director SAI G. KATTA

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