14D1044910 CLIA NUMBER - LODD MEDICAL GROUP S C

Laboratory Demographics

  • CLIA Code: 14D1044910
  • Facility Name: LODD MEDICAL GROUP S C
  • Facility Address: 6 E PHILLIP RD, STE 1108
    VERNON HILLS, IL
    ZIP 60061
  • Facility Phone: 847 549-3979
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHAWN GEORGE
  • NPI Number: 1861536815
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1044910
LAB Type Physician Office
Facility Name LODD MEDICAL GROUP S C
Street 6 E PHILLIP RD, STE 1108
City VERNON HILLS
State IL
ZIP 60061
Phone 847 549-3979
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 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director SHAWN GEORGE

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