Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D2316357
|
|
Clinical laboratory number
|
|
Lab Name
|
BOLDAGE PACE CRESTWOOD
|
|
Laboratory Name
|
|
Lab Type
|
Other - PACE CLINIC
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
708-358-7300
|
|
Laboratory telephone number
|
|
Fax
|
732-234-2092
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
5419 135TH ST
|
|
Primary location adress line
|
|
City
|
CRESTWOOD
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
60418
|
|
Primary location postal code
|