Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D0925249
|
|
Clinical laboratory number
|
|
Lab Name
|
IL D H S BUREAU OF PHARMACY & CLINICAL SUPPORT
|
|
Laboratory Name
|
|
Lab Type
|
Other - DHS MH & DD FACILITIES
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
708-712-9543
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
401 N FOURTH ST, 1ST FLOOR
|
|
Primary location adress line
|
|
City
|
SPRINGFIELD
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
62702
|
|
Primary location postal code
|