14D1024852 CLIA NUMBER - MCHENRY VA CBOC

Laboratory Demographics

  • CLIA Code: 14D1024852
  • Facility Name: MCHENRY VA CBOC
  • Facility Address: 3715 MUNICIPAL DRIVE
    MCHENRY, IL
    ZIP 60050
  • Facility Phone: 262 653-9286
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JOSHUA BUSS
  • NPI Number: 1811021041
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D1024852
LAB Type Community Clinic
Facility Name MCHENRY VA CBOC
Street 3715 MUNICIPAL DRIVE
City MCHENRY
State IL
ZIP 60050
Phone 262 653-9286
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/22/2004
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JOSHUA BUSS

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