14D2173581 CLIA NUMBER - DERMATOLOGY ASSOCIATES OF HIGHLAND PARK

Laboratory Demographics

  • CLIA Code: 14D2173581
  • Facility Name: DERMATOLOGY ASSOCIATES OF HIGHLAND PARK
  • Facility Address: 767 PARK AVE WEST - STE 310
    HIGHLAND PARK, IL
    ZIP 60035
  • Facility Phone: 847 459-6611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT D. GLAZER M D
  • NPI Number: 1497099113
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2173581
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES OF HIGHLAND PARK
Street 767 PARK AVE WEST - STE 310
City HIGHLAND PARK
State IL
ZIP 60035
Phone 847 459-6611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director SCOTT D. GLAZER M D

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