14D1055485 CLIA NUMBER - OAKLUND MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D1055485
  • Facility Name: OAKLUND MEDICAL GROUP
  • Facility Address: 12173 REGENCY PARKWAY
    HUNTLEY, IL
    ZIP 60142
  • Facility Phone: 847 515-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GILBERT N. EGEKEZE
  • NPI Number: 1609886860
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1055485
LAB Type Physician Office
Facility Name OAKLUND MEDICAL GROUP
Street 12173 REGENCY PARKWAY
City HUNTLEY
State IL
ZIP 60142
Phone 847 515-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director GILBERT N. EGEKEZE

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