14D2226643 CLIA NUMBER - DR 247 SC

Laboratory Demographics

  • CLIA Code: 14D2226643
  • Facility Name: DR 247 SC
  • Facility Address: 975 WEILAND RD - STE 100
    BUFFALO GROVE, IL
    ZIP 60089
  • Facility Phone: 847 947-8444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRY KEITH MONROE M D
  • NPI Number: 1922669670
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2226643
LAB Type Physician Office
Facility Name DR 247 SC
Street 975 WEILAND RD - STE 100
City BUFFALO GROVE
State IL
ZIP 60089
Phone 847 947-8444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director HARRY KEITH MONROE M D

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