14D0719398 CLIA NUMBER - MARK A GREENBERGER MD SC

Laboratory Demographics

  • CLIA Code: 14D0719398
  • Facility Name: MARK A GREENBERGER MD SC
  • Facility Address: 480 ELM PLACE-SUITE 203
    HIGHLAND PARK, IL
    ZIP 60035
  • Facility Phone: 847 433-0404
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK A. GREENBERGER
  • NPI Number: 1174555742
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0719398
LAB Type Physician Office
Facility Name MARK A GREENBERGER MD SC
Street 480 ELM PLACE-SUITE 203
City HIGHLAND PARK
State IL
ZIP 60035
Phone 847 433-0404
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 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Physician Office
Lab Director MARK A. GREENBERGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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