14D2116287 CLIA NUMBER - ACTIVE HEALTH LTD

Laboratory Demographics

  • CLIA Code: 14D2116287
  • Facility Name: ACTIVE HEALTH LTD
  • Facility Address: 1550 N NORTHWEST HWY, STE 206
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 739-3120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN N. PANOPOULOS
  • NPI Number: 1104199983
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D2116287
LAB Type Physician Office
Facility Name ACTIVE HEALTH LTD
Street 1550 N NORTHWEST HWY, STE 206
City PARK RIDGE
State IL
ZIP 60068
Phone 847 739-3120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director JOHN N. PANOPOULOS

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