14D0416931 CLIA NUMBER - HEATHER CUSHING GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 14D0416931
  • Facility Name: HEATHER CUSHING GYNECOLOGY
  • Facility Address: 800 ROOSEVELT RD - STE B-114
    GLEN ELLYN, IL
    ZIP 60137
  • Facility Phone: 630 474-2626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER CUSHING
  • NPI Number: 1023093572
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0416931
LAB Type Physician Office
Facility Name HEATHER CUSHING GYNECOLOGY
Street 800 ROOSEVELT RD - STE B-114
City GLEN ELLYN
State IL
ZIP 60137
Phone 630 474-2626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director HEATHER CUSHING

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