14D2120586 CLIA NUMBER - ELMHURST CLINIC CENTER FOR HEALTH #2000

Laboratory Demographics

  • CLIA Code: 14D2120586
  • Facility Name: ELMHURST CLINIC CENTER FOR HEALTH #2000
  • Facility Address: 1200 S YORK ST, STE 2000
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 331 221-4302
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARCHANA RAJENDER
  • NPI Number: 1316312879
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 14D2120586
LAB Type Physician Office
Facility Name ELMHURST CLINIC CENTER FOR HEALTH #2000
Street 1200 S YORK ST, STE 2000
City ELMHURST
State IL
ZIP 60126
Phone 331 221-4302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director ARCHANA RAJENDER

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