14D2215884 CLIA NUMBER - DERICK DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 14D2215884
  • Facility Name: DERICK DERMATOLOGY, LLC
  • Facility Address: 230 COMMONS DR
    GENEVA, IL
    ZIP 60134
  • Facility Phone: 847 381-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY J. DERICK M D
  • NPI Number: 1386118057
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2215884
LAB Type Physician Office
Facility Name DERICK DERMATOLOGY, LLC
Street 230 COMMONS DR
City GENEVA
State IL
ZIP 60134
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 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director AMY J. DERICK M D

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