14D2029662 CLIA NUMBER - MATHERS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 14D2029662
  • Facility Name: MATHERS CLINIC LLC
  • Facility Address: 715 W JUDD ST
    WOODSTOCK, IL
    ZIP 60098
  • Facility Phone: 815 444-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRIHARI B. VEMURI
  • NPI Number: 1821457714
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2029662
LAB Type Physician Office
Facility Name MATHERS CLINIC LLC
Street 715 W JUDD ST
City WOODSTOCK
State IL
ZIP 60098
Phone 815 444-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director SRIHARI B. VEMURI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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