14D2116617 CLIA NUMBER - YELLOWBRICK CONSULTATION AND TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 14D2116617
  • Facility Name: YELLOWBRICK CONSULTATION AND TREATMENT CENTER
  • Facility Address: 1560 SHERMAN AVE, STE 400
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: 847 869-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSE VINER MD
  • NPI Number: 1770752297
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2116617
LAB Type Physician Office
Facility Name YELLOWBRICK CONSULTATION AND TREATMENT CENTER
Street 1560 SHERMAN AVE, STE 400
City EVANSTON
State IL
ZIP 60201
Phone 847 869-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director JESSE VINER MD

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