14D0413340 CLIA NUMBER - COAGULATION CONSULTANTS LAB

Laboratory Demographics

  • CLIA Code: 14D0413340
  • Facility Name: COAGULATION CONSULTANTS LAB
  • Facility Address: 1640 ELK BLVD
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: 847 954-1134
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LARRY BRACE
  • NPI Number: 1194854885
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D0413340
LAB Type Independent
Facility Name COAGULATION CONSULTANTS LAB
Street 1640 ELK BLVD
City DES PLAINES
State IL
ZIP 60016
Phone 847 954-1134
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/12/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director LARRY BRACE

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