14D1061210 CLIA NUMBER - ADVANCED DIABETES & ENDOCRINE CENTER

Laboratory Demographics

  • CLIA Code: 14D1061210
  • Facility Name: ADVANCED DIABETES & ENDOCRINE CENTER
  • Facility Address: 755 S MILWAUKEE AVE, SUITE 186
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 573-9455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAAN BARHOUM
  • NPI Number: 1063500387
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1061210
LAB Type Physician Office
Facility Name ADVANCED DIABETES & ENDOCRINE CENTER
Street 755 S MILWAUKEE AVE, SUITE 186
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 573-9455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MAAN BARHOUM

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