14D2236575 CLIA NUMBER - PRISM PHARMACY ELGIN PRISM PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 14D2236575
  • Facility Name: PRISM PHARMACY ELGIN PRISM PHARMACY LLC
  • Facility Address: 1795 GRANDSTAND PL - STE 2A
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 224 856-5354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAURABH SHETH
  • NPI Number: 1518433077
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2236575
LAB Type Pharmacy
Facility Name PRISM PHARMACY ELGIN PRISM PHARMACY LLC
Street 1795 GRANDSTAND PL - STE 2A
City ELGIN
State IL
ZIP 60123
Phone 224 856-5354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Pharmacy
Lab Director SAURABH SHETH

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