14D0427127 CLIA NUMBER - THOMAS L COTTRELL MD

Laboratory Demographics

  • CLIA Code: 14D0427127
  • Facility Name: THOMAS L COTTRELL MD
  • Facility Address: 2 W TALCOTT SUITE 11
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 318-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS L. COTTRELL JR
  • NPI Number: 1003812934
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 14D0427127
LAB Type Physician Office
Facility Name THOMAS L COTTRELL MD
Street 2 W TALCOTT SUITE 11
City PARK RIDGE
State IL
ZIP 60068
Phone 847 318-5500
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 THOMAS L. COTTRELL JR

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