14D2193602 CLIA NUMBER - COMPREHENSIVE WOUND CARE, L L C

Laboratory Demographics

  • CLIA Code: 14D2193602
  • Facility Name: COMPREHENSIVE WOUND CARE, L L C
  • Facility Address: 1535 LAKE COOK RD
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 559-7702
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAPHNE DENHAM M D
  • NPI Number: 1316254113
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2193602
LAB Type Physician Office
Facility Name COMPREHENSIVE WOUND CARE, L L C
Street 1535 LAKE COOK RD
City NORTHBROOK
State IL
ZIP 60062
Phone 847 559-7702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director DAPHNE DENHAM M D

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