14D0914635 CLIA NUMBER - RICHARD S ROCK MD SC

Laboratory Demographics

  • CLIA Code: 14D0914635
  • Facility Name: RICHARD S ROCK MD SC
  • Facility Address: 2101 WAUKEGAN RD - STE 301
    BANNOCKBURN, IL
    ZIP 60015
  • Facility Phone: 847 295-0584
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD S. ROCK MD
  • NPI Number: 1609984830
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0914635
LAB Type Physician Office
Facility Name RICHARD S ROCK MD SC
Street 2101 WAUKEGAN RD - STE 301
City BANNOCKBURN
State IL
ZIP 60015
Phone 847 295-0584
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 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director RICHARD S. ROCK MD

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