14D2131880 CLIA NUMBER - ENDEAVOR HEALTH NORTHWEST COMM HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 14D2131880
  • Facility Name: ENDEAVOR HEALTH NORTHWEST COMM HEALTH SERVICES
  • Facility Address: 600 W LAKE COOK RD, SUITE 160
    BUFFALO GROVE, IL
    ZIP 60089
  • Facility Phone: 847 632-1880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID CHARMAN
  • NPI Number: 1154460004
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2131880
LAB Type Physician Office
Facility Name ENDEAVOR HEALTH NORTHWEST COMM HEALTH SERVICES
Street 600 W LAKE COOK RD, SUITE 160
City BUFFALO GROVE
State IL
ZIP 60089
Phone 847 632-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director DAVID CHARMAN

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