14D1061999 CLIA NUMBER - AGATA OCZKO-DANGUILAN M D S C

Laboratory Demographics

  • CLIA Code: 14D1061999
  • Facility Name: AGATA OCZKO-DANGUILAN M D S C
  • Facility Address: 61 S SEYMOUR AVE
    GRAYSLAKE, IL
    ZIP 60030
  • Facility Phone: (847) 546-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGATA B. OCZKO-DANGUILAN M D
  • NPI Number: 1285701714
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1061999
LAB Type Physician Office
Facility Name AGATA OCZKO-DANGUILAN M D S C
Street 61 S SEYMOUR AVE
City GRAYSLAKE
State IL
ZIP 60030
Phone 8475465600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director AGATA B. OCZKO-DANGUILAN M D

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This page was last updated on: 5/18/2026