14D0884352 CLIA NUMBER - BENEDICTINE UNIVERSITY STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 14D0884352
  • Facility Name: BENEDICTINE UNIVERSITY STUDENT HEALTH
  • Facility Address: 5700 COLLEGE ROAD
    LISLE, IL
    ZIP 60532
  • Facility Phone: 630 829-6046
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ROBERT ROZNER
  • NPI Number: 1710456199
  • Taxonomy: 2255A2300X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 14D0884352
LAB Type School/Student Health Service
Facility Name BENEDICTINE UNIVERSITY STUDENT HEALTH
Street 5700 COLLEGE ROAD
City LISLE
State IL
ZIP 60532
Phone 630 829-6046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type School/Student Health Service
Lab Director ROBERT ROZNER

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