14D2207958 CLIA NUMBER - DERICK DERMATOLOGY, L L C

Laboratory Demographics

  • CLIA Code: 14D2207958
  • Facility Name: DERICK DERMATOLOGY, L L C
  • Facility Address: 329 REMINGTON BLVD - STE 225
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 847 381-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY J. DERICK M D
  • NPI Number: 1366009664
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2207958
LAB Type Physician Office
Facility Name DERICK DERMATOLOGY, L L C
Street 329 REMINGTON BLVD - STE 225
City BOLINGBROOK
State IL
ZIP 60440
Phone 847 381-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director AMY J. DERICK 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