14D0413619 CLIA NUMBER - COVENANT MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D0413619
  • Facility Name: COVENANT MEDICAL GROUP
  • Facility Address: 2501 COMPASS RD-SUITE 100
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: (847) 901-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAUDIA F. PETERSEN MD
  • NPI Number: 1912186024
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0413619
LAB Type Physician Office
Facility Name COVENANT MEDICAL GROUP
Street 2501 COMPASS RD-SUITE 100
City GLENVIEW
State IL
ZIP 60026
Phone 8479015200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2025
Certificate Expiration Date 12/13/2027
Facility Type Physician Office
Lab Director CLAUDIA F. PETERSEN MD

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This page was last updated on: 6/29/2026