14D2082728 CLIA NUMBER - ALLENDALE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 14D2082728
  • Facility Name: ALLENDALE ASSOCIATION
  • Facility Address: 600 W GRAND
    LAKE VILLA, IL
    ZIP 60046
  • Facility Phone: 847 245-6262
  • Facility Type: Other - RESIDENTIAL TRMT CTR
  • Facility Type: Waiver
  • Lab Director: KELLY ECKHART
  • NPI Number: 1821051608
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2082728
LAB Type Other - RESIDENTIAL TRMT CTR
Facility Name ALLENDALE ASSOCIATION
Street 600 W GRAND
City LAKE VILLA
State IL
ZIP 60046
Phone 847 245-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other - RESIDENTIAL TRMT CTR
Lab Director KELLY ECKHART

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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