14D0715348 CLIA NUMBER - ENDEAVOR HEALTH - EVANSTON HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0715348
  • Facility Name: ENDEAVOR HEALTH - EVANSTON HOSPITAL
  • Facility Address: 1000 CENTRAL ST - FLR 7 - STE 720
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: 847 503-3000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES KEARNS
  • NPI Number: 1316177413
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D0715348
LAB Type Physician Office
Facility Name ENDEAVOR HEALTH - EVANSTON HOSPITAL
Street 1000 CENTRAL ST - FLR 7 - STE 720
City EVANSTON
State IL
ZIP 60201
Phone 847 503-3000
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 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director JAMES KEARNS

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