14D0702970 CLIA NUMBER - PHILLIP H MARKOWITZ DO

Laboratory Demographics

  • CLIA Code: 14D0702970
  • Facility Name: PHILLIP H MARKOWITZ DO
  • Facility Address: 1875 DEMPSTER STREET SUITE 150
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 708 692-5010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHILLIP H. MARKOWITZ
  • NPI Number: 1689036923
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0702970
LAB Type Physician Office
Facility Name PHILLIP H MARKOWITZ DO
Street 1875 DEMPSTER STREET SUITE 150
City PARK RIDGE
State IL
ZIP 60068
Phone 708 692-5010
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 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director PHILLIP H. MARKOWITZ

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