Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D1090064
|
|
Clinical laboratory number
|
|
Lab Name
|
RADIANT DERMATOLOGY - A FOREFRONT DERM PRACTICE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Compliance
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
815-981-4990
|
|
Laboratory telephone number
|
|
Fax
|
815-517-0064
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1740 MEDITERRANEAN DR, STE 102
|
|
Primary location adress line
|
|
City
|
SYCAMORE
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
60178-3191
|
|
Primary location postal code
|