14D2109936 CLIA NUMBER - ADVOCATE CLINIC PALATINE DUNDEE RD

Laboratory Demographics

  • CLIA Code: 14D2109936
  • Facility Name: ADVOCATE CLINIC PALATINE DUNDEE RD
  • Facility Address: 375 E DUNDEE RD
    PALATINE, IL
    ZIP 60074
  • Facility Phone: 773 295-3101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAVINA CORNELIUS
  • NPI Number: 1508067133
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D2109936
LAB Type Physician Office
Facility Name ADVOCATE CLINIC PALATINE DUNDEE RD
Street 375 E DUNDEE RD
City PALATINE
State IL
ZIP 60074
Phone 773 295-3101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director LAVINA CORNELIUS

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