14D0967587 CLIA NUMBER - ALEX LIPOWICH MD

Laboratory Demographics

  • CLIA Code: 14D0967587
  • Facility Name: ALEX LIPOWICH MD
  • Facility Address: 800 BIESTERFIELD ROAD SUITE 2004 BROCK MEDICAL PLAZA
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 437-9505
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEX B. LIPOWICH
  • NPI Number: 1083640734
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0967587
LAB Type Physician Office
Facility Name ALEX LIPOWICH MD
Street 800 BIESTERFIELD ROAD SUITE 2004 BROCK MEDICAL PLAZA
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 437-9505
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 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director ALEX B. LIPOWICH

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