14D0412464 CLIA NUMBER - WELLNESS ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D0412464
  • Facility Name: WELLNESS ASSOCIATES
  • Facility Address: 2150 PFINGSTEN ROAD - STE 2150
    GLENVIEW, IL
    ZIP 60025
  • Facility Phone: 847 729-2320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS R. SULTAN
  • NPI Number: 1861602377
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0412464
LAB Type Physician Office
Facility Name WELLNESS ASSOCIATES
Street 2150 PFINGSTEN ROAD - STE 2150
City GLENVIEW
State IL
ZIP 60025
Phone 847 729-2320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director THOMAS R. SULTAN

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This page was last updated on: 9/29/2025