14D2163951 CLIA NUMBER - HINSDALE FAMILY MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 14D2163951
  • Facility Name: HINSDALE FAMILY MEDICINE CENTER
  • Facility Address: 135 N OAK ST
    HINSDALE, IL
    ZIP 60521
  • Facility Phone: 630 856-8900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH BOCKHOLD M D
  • NPI Number: 1366579443
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2163951
LAB Type Physician Office
Facility Name HINSDALE FAMILY MEDICINE CENTER
Street 135 N OAK ST
City HINSDALE
State IL
ZIP 60521
Phone 630 856-8900
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 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director ELIZABETH BOCKHOLD M D

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