14D2090505 CLIA NUMBER - MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 14D2090505
  • Facility Name: MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC
  • Facility Address: 290 SPRINGFIELD DR - STE 290
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 351-9170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL VOSICKY DO
  • NPI Number: 1609807908
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2090505
LAB Type Physician Office
Facility Name MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC
Street 290 SPRINGFIELD DR - STE 290
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 351-9170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director MICHAEL VOSICKY DO

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