14D2107347 CLIA NUMBER - DY DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 14D2107347
  • Facility Name: DY DERMATOLOGY CENTER
  • Facility Address: 1452 WAUKEGAN RD
    GLENVIEW, IL
    ZIP 60025
  • Facility Phone: 847 832-1185
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LADY CHRISTINE DY
  • NPI Number: 1629443759
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2107347
LAB Type Physician Office
Facility Name DY DERMATOLOGY CENTER
Street 1452 WAUKEGAN RD
City GLENVIEW
State IL
ZIP 60025
Phone 847 832-1185
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 7/27/2022
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director LADY CHRISTINE DY

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