14D2172787 CLIA NUMBER - CARDINALIGHT HEALTH, L L C

Laboratory Demographics

  • CLIA Code: 14D2172787
  • Facility Name: CARDINALIGHT HEALTH, L L C
  • Facility Address: 760 MCARDLE DR - STE A
    CRYSTAL LAKE, IL
    ZIP 60014
  • Facility Phone: 815 459-7127
  • Facility Type: Other - NURSE PRACTITIONER OFFICE
  • Facility Type: Waiver
  • Lab Director: SHARON E. LARSEN
  • NPI Number: 1760956726
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 14D2172787
LAB Type Other - NURSE PRACTITIONER OFFICE
Facility Name CARDINALIGHT HEALTH, L L C
Street 760 MCARDLE DR - STE A
City CRYSTAL LAKE
State IL
ZIP 60014
Phone 815 459-7127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Other - NURSE PRACTITIONER OFFICE
Lab Director SHARON E. LARSEN

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