14D1002168 CLIA NUMBER - ILLINOIS PAIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D1002168
  • Facility Name: ILLINOIS PAIN INSTITUTE
  • Facility Address: 4309 MEDICAL CENTER DR -STE B103
    MCHENRY, IL
    ZIP 60050
  • Facility Phone: 847 289-8822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHADI I. YAACOUB
  • NPI Number: 1669020848
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1002168
LAB Type Physician Office
Facility Name ILLINOIS PAIN INSTITUTE
Street 4309 MEDICAL CENTER DR -STE B103
City MCHENRY
State IL
ZIP 60050
Phone 847 289-8822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director CHADI I. YAACOUB

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