14D2127679 CLIA NUMBER - PROCARE MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 14D2127679
  • Facility Name: PROCARE MEDICAL GROUP LLC
  • Facility Address: 3000 DUNDEE ROAD, SUITE 313
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 383-6224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEMETRIOS J. GIOKARIS MD
  • NPI Number: 1407308752
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 14D2127679
LAB Type Physician Office
Facility Name PROCARE MEDICAL GROUP LLC
Street 3000 DUNDEE ROAD, SUITE 313
City NORTHBROOK
State IL
ZIP 60062
Phone 847 383-6224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director DEMETRIOS J. GIOKARIS MD

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