14D2122294 CLIA NUMBER - WOODSTOCK COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D2122294
  • Facility Name: WOODSTOCK COMMUNITY HEALTH CENTER
  • Facility Address: 3703 DOTY RD, MOB #1 - STE #1
    WOODSTOCK, IL
    ZIP 60098
  • Facility Phone: 708 747-7546
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: TAMARA LIM MD
  • NPI Number: 1447269832
  • Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic

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CLIA Record

Field Name Field Value
CLIA Number 14D2122294
LAB Type Federally Qualified Health Center
Facility Name WOODSTOCK COMMUNITY HEALTH CENTER
Street 3703 DOTY RD, MOB #1 - STE #1
City WOODSTOCK
State IL
ZIP 60098
Phone 708 747-7546
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 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Federally Qualified Health Center
Lab Director TAMARA LIM MD

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