14D2050562 CLIA NUMBER - MATHERS RECOVERY, L L C

Laboratory Demographics

  • CLIA Code: 14D2050562
  • Facility Name: MATHERS RECOVERY, L L C
  • Facility Address: 420 AIRPORT RD - STE C
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 815 444-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREETI B. VEMURI
  • NPI Number: 1083252480
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2050562
LAB Type Physician Office
Facility Name MATHERS RECOVERY, L L C
Street 420 AIRPORT RD - STE C
City ELGIN
State IL
ZIP 60123
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 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director PREETI B. VEMURI

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