14D0677176 CLIA NUMBER - ILLINOIS DERMATOLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D0677176
  • Facility Name: ILLINOIS DERMATOLOGY INSTITUTE
  • Facility Address: 11824 SOUTHWEST HIGHWAY - STE 210
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: (708) 671-1374
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEITH A. LOPATKA

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CLIA Record

Field Name Field Value
CLIA Number 14D0677176
LAB Type Physician Office
Facility Name ILLINOIS DERMATOLOGY INSTITUTE
Street 11824 SOUTHWEST HIGHWAY - STE 210
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 7086711374
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director KEITH A. LOPATKA

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This page was last updated on: 5/18/2026