14D1088365 CLIA NUMBER - ADVANCED ENDOCRINOLOGY LLC

Laboratory Demographics

  • CLIA Code: 14D1088365
  • Facility Name: ADVANCED ENDOCRINOLOGY LLC
  • Facility Address: 800 E WOODFIELD RD, UNIT 113
    SCHAUMBURG, IL
    ZIP 60173
  • Facility Phone: 847 686-6866
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA C. BANSAL
  • NPI Number: 1346324985
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1088365
LAB Type Physician Office
Facility Name ADVANCED ENDOCRINOLOGY LLC
Street 800 E WOODFIELD RD, UNIT 113
City SCHAUMBURG
State IL
ZIP 60173
Phone 847 686-6866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director TINA C. BANSAL

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