14D0413613 CLIA NUMBER - JEAN SHLYAK MD

Laboratory Demographics

  • CLIA Code: 14D0413613
  • Facility Name: JEAN SHLYAK MD
  • Facility Address: 3000 DUNDEE RD, STE 215
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 390-8550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEAN SHLYAK
  • NPI Number: 1851457717
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0413613
LAB Type Physician Office
Facility Name JEAN SHLYAK MD
Street 3000 DUNDEE RD, STE 215
City NORTHBROOK
State IL
ZIP 60062
Phone 847 390-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JEAN SHLYAK

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