14D0421147 CLIA NUMBER - ROBERT A WINIECKI MD

Laboratory Demographics

  • CLIA Code: 14D0421147
  • Facility Name: ROBERT A WINIECKI MD
  • Facility Address: 1500 EISENHOWER LN, SUITE 700
    LISLE, IL
    ZIP 60532
  • Facility Phone: 630 964-1844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. WINIECKI
  • NPI Number: 1215985155
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0421147
LAB Type Physician Office
Facility Name ROBERT A WINIECKI MD
Street 1500 EISENHOWER LN, SUITE 700
City LISLE
State IL
ZIP 60532
Phone 630 964-1844
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 ROBERT A. WINIECKI

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