14D1039872 CLIA NUMBER - ECKER CENTER FOR BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 14D1039872
  • Facility Name: ECKER CENTER FOR BEHAVIORAL HEALTH
  • Facility Address: 1845 GRANDSTAND PL
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 695-0484
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: STEPHANIE L. ROACH
  • NPI Number: 1730576596
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 14D1039872
LAB Type Community Clinic
Facility Name ECKER CENTER FOR BEHAVIORAL HEALTH
Street 1845 GRANDSTAND PL
City ELGIN
State IL
ZIP 60123
Phone 847 695-0484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Community Clinic
Lab Director STEPHANIE L. ROACH

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