14D2213150 CLIA NUMBER - EXISTENTIAL COUNSELOR SOCIETY

Laboratory Demographics

  • CLIA Code: 14D2213150
  • Facility Name: EXISTENTIAL COUNSELOR SOCIETY
  • Facility Address: 1225 RICHARDS
    JOLIET, IL
    ZIP 60433
  • Facility Phone: 708 223-2698
  • Facility Type: Other - DRUG AND ALCHOL TREATMENT
  • Facility Type: Waiver
  • Lab Director: BIKRAM SHARMA M D
  • NPI Number: 1619303666
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2213150
LAB Type Other - DRUG AND ALCHOL TREATMENT
Facility Name EXISTENTIAL COUNSELOR SOCIETY
Street 1225 RICHARDS
City JOLIET
State IL
ZIP 60433
Phone 708 223-2698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - DRUG AND ALCHOL TREATMENT
Lab Director BIKRAM SHARMA 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