14D2098348 CLIA NUMBER - CORPORATE WELLNESS PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 14D2098348
  • Facility Name: CORPORATE WELLNESS PARTNERS LLC
  • Facility Address: 716 S MILWAUKEE AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 990-7220
  • Facility Type: Other - CORPORATE HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: JONATHAN S. CITOW
  • NPI Number: 1295110898
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 14D2098348
LAB Type Other - CORPORATE HEALTH CLINIC
Facility Name CORPORATE WELLNESS PARTNERS LLC
Street 716 S MILWAUKEE AVE
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 990-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Other - CORPORATE HEALTH CLINIC
Lab Director JONATHAN S. CITOW

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