14D1105155 CLIA NUMBER - ROSEANN E BRADY DO SC

Laboratory Demographics

  • CLIA Code: 14D1105155
  • Facility Name: ROSEANN E BRADY DO SC
  • Facility Address: 110 S WYNSTONE PARK DRIVE, SUITE 101
    NORTH BARRINGTON, IL
    ZIP 60010
  • Facility Phone: 847 438-2454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSEANN E. BRADY
  • NPI Number: 1477604106
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1105155
LAB Type Physician Office
Facility Name ROSEANN E BRADY DO SC
Street 110 S WYNSTONE PARK DRIVE, SUITE 101
City NORTH BARRINGTON
State IL
ZIP 60010
Phone 847 438-2454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director ROSEANN E. BRADY

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