14D0901419 CLIA NUMBER - GREENBROOK FAMIY CLINIC

Laboratory Demographics

  • CLIA Code: 14D0901419
  • Facility Name: GREENBROOK FAMIY CLINIC
  • Facility Address: 1250 BAMBERG CT
    HANOVER PARK, IL
    ZIP 60133
  • Facility Phone: (630) 837-9460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD PAWLOWSKI

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CLIA Record

Field Name Field Value
CLIA Number 14D0901419
LAB Type Physician Office
Facility Name GREENBROOK FAMIY CLINIC
Street 1250 BAMBERG CT
City HANOVER PARK
State IL
ZIP 60133
Phone 6308379460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director RONALD PAWLOWSKI

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This page was last updated on: 5/18/2026