14D2083635 CLIA NUMBER - ILLINOIS DERMATOLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D2083635
  • Facility Name: ILLINOIS DERMATOLOGY INSTITUTE
  • Facility Address: 25 E WASHINGTON ST SUITE #1221
    CHICAGO, IL
    ZIP 60602
  • Facility Phone: 312 585-7299
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EVAN STOKAR
  • NPI Number: 1528127875
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2083635
LAB Type Physician Office
Facility Name ILLINOIS DERMATOLOGY INSTITUTE
Street 25 E WASHINGTON ST SUITE #1221
City CHICAGO
State IL
ZIP 60602
Phone 312 585-7299
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 12/3/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director EVAN STOKAR

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