14D0989751 CLIA NUMBER - ATKINSON CLINIC, S C

Laboratory Demographics

  • CLIA Code: 14D0989751
  • Facility Name: ATKINSON CLINIC, S C
  • Facility Address: 550 N LAKE ST
    MUNDELEIN, IL
    ZIP 60060
  • Facility Phone: 847 548-9777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGEI SHEVLYGIN
  • NPI Number: 1437169646
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0989751
LAB Type Physician Office
Facility Name ATKINSON CLINIC, S C
Street 550 N LAKE ST
City MUNDELEIN
State IL
ZIP 60060
Phone 847 548-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Physician Office
Lab Director SERGEI SHEVLYGIN

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