14D0429314 CLIA NUMBER - RIVERSIDE WORKFORCE HEALTH

Laboratory Demographics

  • CLIA Code: 14D0429314
  • Facility Name: RIVERSIDE WORKFORCE HEALTH
  • Facility Address: 400 S KENNEDY - STE 700
    BRADLEY, IL
    ZIP 60915
  • Facility Phone: 815 935-7532
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: KATHRYN M. INCZAUSKIS
  • NPI Number: 1366733685
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0429314
LAB Type Ancillary Testing Site in Health Care Center
Facility Name RIVERSIDE WORKFORCE HEALTH
Street 400 S KENNEDY - STE 700
City BRADLEY
State IL
ZIP 60915
Phone 815 935-7532
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KATHRYN M. INCZAUSKIS

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