14D2121078 CLIA NUMBER - ELMHURST CLINIC ADDISON - OBGYN

Laboratory Demographics

  • CLIA Code: 14D2121078
  • Facility Name: ELMHURST CLINIC ADDISON - OBGYN
  • Facility Address: 303 W LAKE ST, STE 200
    ADDISON, IL
    ZIP 60101
  • Facility Phone: 331 221-5376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL HOFFMAN
  • NPI Number: 1225274467
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2121078
LAB Type Physician Office
Facility Name ELMHURST CLINIC ADDISON - OBGYN
Street 303 W LAKE ST, STE 200
City ADDISON
State IL
ZIP 60101
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 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director MICHAEL HOFFMAN

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