14D2109887 CLIA NUMBER - NORTHWESTERN MEDICINE - HUNTLEY WORKSITE WELLNESS

Laboratory Demographics

  • CLIA Code: 14D2109887
  • Facility Name: NORTHWESTERN MEDICINE - HUNTLEY WORKSITE WELLNESS
  • Facility Address: 10450 ALGONQUIN RD - STE 100
    HUNTLEY, IL
    ZIP 60142
  • Facility Phone: 815 788-2269
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: AMIR HEYDARI
  • NPI Number: 1194918417
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2109887
LAB Type Health Fair
Facility Name NORTHWESTERN MEDICINE - HUNTLEY WORKSITE WELLNESS
Street 10450 ALGONQUIN RD - STE 100
City HUNTLEY
State IL
ZIP 60142
Phone 815 788-2269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Health Fair
Lab Director AMIR HEYDARI

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