14D2142179 CLIA NUMBER - PLANNED PARENTHOOD OF ILLINOIS - FLOSSMOOR

Laboratory Demographics

  • CLIA Code: 14D2142179
  • Facility Name: PLANNED PARENTHOOD OF ILLINOIS - FLOSSMOOR
  • Facility Address: 19831 GOVERNORS HIGHWAY
    FLOSSMOOR, IL
    ZIP 60422
  • Facility Phone: 708 960-0907
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: AMY K. WHITAKER
  • NPI Number: 1467869230
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2142179
LAB Type Community Clinic
Facility Name PLANNED PARENTHOOD OF ILLINOIS - FLOSSMOOR
Street 19831 GOVERNORS HIGHWAY
City FLOSSMOOR
State IL
ZIP 60422
Phone 708 960-0907
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 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Community Clinic
Lab Director AMY K. WHITAKER

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This page was last updated on: 6/4/2025