14D2076728 CLIA NUMBER - STONYBROOK CENTER

Laboratory Demographics

  • CLIA Code: 14D2076728
  • Facility Name: STONYBROOK CENTER
  • Facility Address: 1506 E ROOSEVELT RD
    WHEATON, IL
    ZIP 60187
  • Facility Phone: (630) 221-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARISSA KIRCH
  • NPI Number: 1629374566
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2076728
LAB Type Physician Office
Facility Name STONYBROOK CENTER
Street 1506 E ROOSEVELT RD
City WHEATON
State IL
ZIP 60187
Phone 6302211400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2026
Certificate Expiration Date 4/23/2028
Facility Type Physician Office
Lab Director MARISSA KIRCH

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This page was last updated on: 5/18/2026