Organization
C & A TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HERNANDEZ (LABORATORY DIRECTOR)
(708) 275-8893
Entity
Organization
Contact information
Practice address
15758 S BELL RD # 11, HOMER GLEN, IL 60491-8400
(708) 275-8893
(708) 372-1124
Mailing address
15758 S BELL RD # 11, HOMER GLEN, IL 60491-8400
(708) 275-8893
(708) 372-1124
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2255895
CLIA WAIVER
IL
Enumeration date
04/12/2022
Last updated
04/12/2022
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