14D2119693 CLIA NUMBER - ELMHURST MEMORIAL HEALTHCARE OB GYNE/PEDS

Laboratory Demographics

  • CLIA Code: 14D2119693
  • Facility Name: ELMHURST MEMORIAL HEALTHCARE OB GYNE/PEDS
  • Facility Address: 1200 S YORK RD, STE 2000
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 331 221-5376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW ZUCKERMAN
  • NPI Number: 1023003092
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2119693
LAB Type Physician Office
Facility Name ELMHURST MEMORIAL HEALTHCARE OB GYNE/PEDS
Street 1200 S YORK RD, STE 2000
City ELMHURST
State IL
ZIP 60126
Phone 331 221-5376
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director MATTHEW ZUCKERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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