14D2177394 CLIA NUMBER - KENNETH YOUNG CENTER

Laboratory Demographics

  • CLIA Code: 14D2177394
  • Facility Name: KENNETH YOUNG CENTER
  • Facility Address: 1001 ROHLWING RD
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 524-8800
  • Facility Type: Other - COMM MENTAL HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: MELISSA L. WELCH
  • NPI Number: 1174897292
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2177394
LAB Type Other - COMM MENTAL HEALTH CENTER
Facility Name KENNETH YOUNG CENTER
Street 1001 ROHLWING RD
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 524-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Other - COMM MENTAL HEALTH CENTER
Lab Director MELISSA L. WELCH

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