14D2191536 CLIA NUMBER - KENNETH YOUNG CENTER

Laboratory Demographics

  • CLIA Code: 14D2191536
  • Facility Name: KENNETH YOUNG CENTER
  • Facility Address: 650 E ALGONQUIN RD - STE 104
    SCHAUMBURG, IL
    ZIP 60173
  • Facility Phone: 847 496-5939
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHANTAL MBABAZI
  • NPI Number: 1720833650
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2191536
LAB Type Community Clinic
Facility Name KENNETH YOUNG CENTER
Street 650 E ALGONQUIN RD - STE 104
City SCHAUMBURG
State IL
ZIP 60173
Phone 847 496-5939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Community Clinic
Lab Director SHANTAL MBABAZI

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