14D0856234 CLIA NUMBER - WHEATON COLLEGE STUDENT HEALTH SERV

Laboratory Demographics

  • CLIA Code: 14D0856234
  • Facility Name: WHEATON COLLEGE STUDENT HEALTH SERV
  • Facility Address: 800 CENTENNIAL DR, STE 130
    WHEATON, IL
    ZIP 60187
  • Facility Phone: 630 752-5072
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: LIDIA K. NELKOVSKI MD
  • NPI Number: 1487790564
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0856234
LAB Type School/Student Health Service
Facility Name WHEATON COLLEGE STUDENT HEALTH SERV
Street 800 CENTENNIAL DR, STE 130
City WHEATON
State IL
ZIP 60187
Phone 630 752-5072
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type School/Student Health Service
Lab Director LIDIA K. NELKOVSKI MD

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