Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D0879925
|
|
Clinical laboratory number
|
|
Lab Name
|
HOWARD S MANGURTEN M D - S C
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
847-884-8420
|
|
Laboratory telephone number
|
|
Fax
|
847-884-0198
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
990 GRAND CANYON PARKWAY SUITE 310
|
|
Primary location adress line
|
|
City
|
HOFFMAN ESTATES
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
60169-1736
|
|
Primary location postal code
|