14D2001501 CLIA NUMBER - UROPARTNERS PROSTATE CENTER AT THE GLEN

Laboratory Demographics

  • CLIA Code: 14D2001501
  • Facility Name: UROPARTNERS PROSTATE CENTER AT THE GLEN
  • Facility Address: 2600 PATRIOT BLVD, STE J
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 224 260-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARTHIV MEHTA
  • NPI Number: 1073567905
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 14D2001501
LAB Type Physician Office
Facility Name UROPARTNERS PROSTATE CENTER AT THE GLEN
Street 2600 PATRIOT BLVD, STE J
City GLENVIEW
State IL
ZIP 60026
Phone 224 260-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director PARTHIV MEHTA

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