14D2171157 CLIA NUMBER - MATHERS RECOVERY, L L C

Laboratory Demographics

  • CLIA Code: 14D2171157
  • Facility Name: MATHERS RECOVERY, L L C
  • Facility Address: 145 S VIRGINIA ST
    CRYSTAL LAKE, IL
    ZIP 60014
  • Facility Phone: (815) 444-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRIHARI VEMURI
  • NPI Number: 1013555416
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2171157
LAB Type Physician Office
Facility Name MATHERS RECOVERY, L L C
Street 145 S VIRGINIA ST
City CRYSTAL LAKE
State IL
ZIP 60014
Phone 8154449999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director SRIHARI VEMURI

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This page was last updated on: 5/18/2026