14D1100919 CLIA NUMBER - DUNDEE PHARMACY INC

Laboratory Demographics

  • CLIA Code: 14D1100919
  • Facility Name: DUNDEE PHARMACY INC
  • Facility Address: 2750 DUNDEE RD - STE 9
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 480-1000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARRY S. MACKLIN
  • NPI Number: 1033155940
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1100919
LAB Type Pharmacy
Facility Name DUNDEE PHARMACY INC
Street 2750 DUNDEE RD - STE 9
City NORTHBROOK
State IL
ZIP 60062
Phone 847 480-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Pharmacy
Lab Director LARRY S. MACKLIN

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