Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D2319755
|
|
Clinical laboratory number
|
|
Lab Name
|
ENHANCED HEALTH PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Mobile Laboratory
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
312-244-5681
|
|
Laboratory telephone number
|
|
Fax
|
980-238-2590
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
7627 LAKE ST - STE 206 PMB 1152
|
|
Primary location adress line
|
|
City
|
RIVER FOREST
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
60305
|
|
Primary location postal code
|