14D0712849 CLIA NUMBER - NORTHWESTERN MEDICINE MCHENRY HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0712849
  • Facility Name: NORTHWESTERN MEDICINE MCHENRY HOSPITAL
  • Facility Address: 4201 MEDICAL CENTER DR
    MCHENRY, IL
    ZIP 60050
  • Facility Phone: 815 759-4845
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL MORAVEK
  • NPI Number: 1497107692
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 14D0712849
LAB Type Hospital
Facility Name NORTHWESTERN MEDICINE MCHENRY HOSPITAL
Street 4201 MEDICAL CENTER DR
City MCHENRY
State IL
ZIP 60050
Phone 815 759-4845
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Hospital
Lab Director DR. MICHAEL MORAVEK

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