14D2070570 CLIA NUMBER - NEURORESTORATIVE ILLINOIS

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CLIA Record

Field Name Field Value
CLIA Number 14D2070570
LAB Type Other - CMMTY BASED RSDNTL REHAB
Facility Name NEURORESTORATIVE ILLINOIS
Street 820 BERKSHIRE LN
City DES PLAINES
State IL
ZIP 60016
Phone 618 503-9061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Other - CMMTY BASED RSDNTL REHAB
Lab Director SCOTT A. SHAW

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