14D0972260 CLIA NUMBER - RICHARD IZEWSKI MD LTD

Laboratory Demographics

  • CLIA Code: 14D0972260
  • Facility Name: RICHARD IZEWSKI MD LTD
  • Facility Address: 1094 S ROSELLE RD
    SCHAUMBURG, IL
    ZIP 60193
  • Facility Phone: 847 301-1377
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD IZEWSKI MD
  • NPI Number: 1306930177
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0972260
LAB Type Physician Office
Facility Name RICHARD IZEWSKI MD LTD
Street 1094 S ROSELLE RD
City SCHAUMBURG
State IL
ZIP 60193
Phone 847 301-1377
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 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director RICHARD IZEWSKI MD

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