14D2227167 CLIA NUMBER - AKUMIN HEALTH ILLINOIS, LLC

Laboratory Demographics

  • CLIA Code: 14D2227167
  • Facility Name: AKUMIN HEALTH ILLINOIS, LLC
  • Facility Address: 820 E TERRA COTTA AVE - STE 136
    CRYSTAL LAKE, IL
    ZIP 60014
  • Facility Phone: 815 444-1330
  • Facility Type: Other - DIAGNOSTIC IMAGING
  • Facility Type: Waiver
  • Lab Director: JUDY L. PIRTLE
  • NPI Number: 1518505585
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2227167
LAB Type Other - DIAGNOSTIC IMAGING
Facility Name AKUMIN HEALTH ILLINOIS, LLC
Street 820 E TERRA COTTA AVE - STE 136
City CRYSTAL LAKE
State IL
ZIP 60014
Phone 815 444-1330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Other - DIAGNOSTIC IMAGING
Lab Director JUDY L. PIRTLE

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