14D2190275 CLIA NUMBER - DOLEHIDE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2190275
  • Facility Name: DOLEHIDE DERMATOLOGY
  • Facility Address: 4400 W 95TH STREET
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 815 215-8292
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CONOR P. DOLEHIDE M D
  • NPI Number: 1003425836
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2190275
LAB Type Physician Office
Facility Name DOLEHIDE DERMATOLOGY
Street 4400 W 95TH STREET
City OAK LAWN
State IL
ZIP 60453
Phone 815 215-8292
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director CONOR P. DOLEHIDE M D

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