14D2188778 CLIA NUMBER - SCOTT D GLAZER, MD - SC - GLAZER DERM - CHICAGO

Laboratory Demographics

  • CLIA Code: 14D2188778
  • Facility Name: SCOTT D GLAZER, MD - SC - GLAZER DERM - CHICAGO
  • Facility Address: 7447 W TALCOTT AVE - STE 321
    CHICAGO, IL
    ZIP 60631
  • Facility Phone: (847) 459-6611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT D. GLAZER M D
  • NPI Number: 1215151857
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2188778
LAB Type Physician Office
Facility Name SCOTT D GLAZER, MD - SC - GLAZER DERM - CHICAGO
Street 7447 W TALCOTT AVE - STE 321
City CHICAGO
State IL
ZIP 60631
Phone 8474596611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director SCOTT D. GLAZER M D

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