14D0994331 CLIA NUMBER - LEONARD DUBIN MD LLC

Laboratory Demographics

  • CLIA Code: 14D0994331
  • Facility Name: LEONARD DUBIN MD LLC
  • Facility Address: 675 W NORTH AVE, STE 401
    MELROSE PARK, IL
    ZIP 60160
  • Facility Phone: 708 632-5566
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEONARD DUBIN
  • NPI Number: 1518976737
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0994331
LAB Type Physician Office
Facility Name LEONARD DUBIN MD LLC
Street 675 W NORTH AVE, STE 401
City MELROSE PARK
State IL
ZIP 60160
Phone 708 632-5566
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 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director LEONARD DUBIN

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