14D2081489 CLIA NUMBER - NORTH BRANCH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2081489
  • Facility Name: NORTH BRANCH DERMATOLOGY
  • Facility Address: 7411 N MILWAUKEE AVE
    NILES, IL
    ZIP 60714
  • Facility Phone: (773) 763-6000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ELIZABETH N. FAHRENBACH
  • NPI Number: 1154721348
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2081489
LAB Type Physician Office
Facility Name NORTH BRANCH DERMATOLOGY
Street 7411 N MILWAUKEE AVE
City NILES
State IL
ZIP 60714
Phone 7737636000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director ELIZABETH N. FAHRENBACH

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This page was last updated on: 6/29/2026