14D0943183 CLIA NUMBER - HOSEP H DEYRMENJIAN MD PC

Laboratory Demographics

  • CLIA Code: 14D0943183
  • Facility Name: HOSEP H DEYRMENJIAN MD PC
  • Facility Address: 1445 HUNT CLUB RD SUITE 303
    GURNEE, IL
    ZIP 60031
  • Facility Phone: 847 855-3150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOSEP H. DEYRMENJIAN
  • NPI Number: 1710979729
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0943183
LAB Type Physician Office
Facility Name HOSEP H DEYRMENJIAN MD PC
Street 1445 HUNT CLUB RD SUITE 303
City GURNEE
State IL
ZIP 60031
Phone 847 855-3150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director HOSEP H. DEYRMENJIAN

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This page was last updated on: 6/4/2025