14D2008340 CLIA NUMBER - JOLIET CENTER FOR CLINICAL RESEARCH

Laboratory Demographics

CLIA Number: 14D2008340

Facility Name: JOLIET CENTER FOR CLINICAL RESEARCH

Facility Address:
210 N HAMMES AVE, STE 205
JOLIET, IL
ZIP 60435
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Facility Phone Number: 815 729-7790

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760647226

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name Field Value
CLIA Number 14D2008340
LAB Type Physician Office
Facility Name JOLIET CENTER FOR CLINICAL RESEARCH
Street 210 N HAMMES AVE, STE 205
City JOLIET
State IL
ZIP 60435
Phone 815 729-7790
CertificateType 4
CertificateEffectiveDate 6/9/2022
CertificateExpirationDate 6/8/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024