14D0957264 CLIA NUMBER - JOHN T CARROLL MD

Laboratory Demographics

  • CLIA Code: 14D0957264
  • Facility Name: JOHN T CARROLL MD
  • Facility Address: 503 THORNHILL DRIVE
    CAROL STREAM, IL
    ZIP 60188
  • Facility Phone: 630 653-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN T. CARROLL MD
  • NPI Number: 1457379042
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0957264
LAB Type Physician Office
Facility Name JOHN T CARROLL MD
Street 503 THORNHILL DRIVE
City CAROL STREAM
State IL
ZIP 60188
Phone 630 653-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director JOHN T. CARROLL MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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