14D0669874 CLIA NUMBER - WELL CHILD CENTER

Laboratory Demographics

  • CLIA Code: 14D0669874
  • Facility Name: WELL CHILD CENTER
  • Facility Address: 620 WING ST-UNIT #2
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 741-7370
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: WYNN SHEADE
  • NPI Number: 1871709865
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D0669874
LAB Type Community Clinic
Facility Name WELL CHILD CENTER
Street 620 WING ST-UNIT #2
City ELGIN
State IL
ZIP 60123
Phone 847 741-7370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Community Clinic
Lab Director WYNN SHEADE

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