14D1086453 CLIA NUMBER - ADVOCATE GOOD SHEPHERD IMMEDIATE CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D1086453
  • Facility Name: ADVOCATE GOOD SHEPHERD IMMEDIATE CARE CENTER
  • Facility Address: 525 CONGRESS PARKWAY, SUITE 100
    CRYSTAL LAKE, IL
    ZIP 60014
  • Facility Phone: (815) 479-8020
  • Facility Type: Other - IMMEDIATE CARE CTR
  • Facility Type: Waiver
  • Lab Director: SHABBIR KANJI MD

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CLIA Record

Field Name Field Value
CLIA Number 14D1086453
LAB Type Other - IMMEDIATE CARE CTR
Facility Name ADVOCATE GOOD SHEPHERD IMMEDIATE CARE CENTER
Street 525 CONGRESS PARKWAY, SUITE 100
City CRYSTAL LAKE
State IL
ZIP 60014
Phone 8154798020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Other - IMMEDIATE CARE CTR
Lab Director SHABBIR KANJI MD

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