14D2029692 CLIA NUMBER - NORTHWESTERN MED DIABETES EDUCATION - HUNTLEY

Laboratory Demographics

  • CLIA Code: 14D2029692
  • Facility Name: NORTHWESTERN MED DIABETES EDUCATION - HUNTLEY
  • Facility Address: 10450 W ALGONQUIN RD
    HUNTLEY, IL
    ZIP 60142
  • Facility Phone: 815 356-2382
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ACHAL GARBHARREN MD
  • NPI Number: 1720538879
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2029692
LAB Type Hospital
Facility Name NORTHWESTERN MED DIABETES EDUCATION - HUNTLEY
Street 10450 W ALGONQUIN RD
City HUNTLEY
State IL
ZIP 60142
Phone 815 356-2382
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 Hospital
Lab Director ACHAL GARBHARREN MD

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