14D1095282 CLIA NUMBER - MIDWEST OB / GYN & MIDWIFERY

Laboratory Demographics

  • CLIA Code: 14D1095282
  • Facility Name: MIDWEST OB / GYN & MIDWIFERY
  • Facility Address: 800 BIESTERFIELD RD, STE 306
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 357-1144
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARIUSZ T. KOZIOL
  • NPI Number: 1790020006
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D1095282
LAB Type Physician Office
Facility Name MIDWEST OB / GYN & MIDWIFERY
Street 800 BIESTERFIELD RD, STE 306
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 357-1144
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director DR. MARIUSZ T. KOZIOL

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