14D1024561 CLIA NUMBER - ADVOCATE MED GROUP ELGIN 1710 RANDALL RD

Laboratory Demographics

  • CLIA Code: 14D1024561
  • Facility Name: ADVOCATE MED GROUP ELGIN 1710 RANDALL RD
  • Facility Address: 1710 N RANDALL RD
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 773 295-3101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL HERNANDEZ MD
  • NPI Number: 1376817726
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1024561
LAB Type Physician Office
Facility Name ADVOCATE MED GROUP ELGIN 1710 RANDALL RD
Street 1710 N RANDALL RD
City ELGIN
State IL
ZIP 60123
Phone 773 295-3101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director MICHAEL HERNANDEZ MD

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