14D2181979 CLIA NUMBER - MINDFUL MEDISPA & MEDICLINIC

Laboratory Demographics

  • CLIA Code: 14D2181979
  • Facility Name: MINDFUL MEDISPA & MEDICLINIC
  • Facility Address: 1626 W ALGONQUIN RD
    HOFFMAN ESTATES, IL
    ZIP 60192
  • Facility Phone: 224 633-3482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCIE M. BIANCHI M D
  • NPI Number: 1144936170
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2181979
LAB Type Physician Office
Facility Name MINDFUL MEDISPA & MEDICLINIC
Street 1626 W ALGONQUIN RD
City HOFFMAN ESTATES
State IL
ZIP 60192
Phone 224 633-3482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director LUCIE M. BIANCHI M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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