14D2118332 CLIA NUMBER - MATHERS RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 14D2118332
  • Facility Name: MATHERS RECOVERY LLC
  • Facility Address: 101 TOWNE CENTER LN
    FOX LAKE, IL
    ZIP 60020
  • Facility Phone: 815 444-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREETI VEMURI
  • NPI Number: 1922543461
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2118332
LAB Type Physician Office
Facility Name MATHERS RECOVERY LLC
Street 101 TOWNE CENTER LN
City FOX LAKE
State IL
ZIP 60020
Phone 815 444-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director PREETI VEMURI

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