14D2238939 CLIA NUMBER - MEDOVATE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2238939
  • Facility Name: MEDOVATE DERMATOLOGY
  • Facility Address: 1450 BUSCH PWY - STE 145
    BUFFALO GROVE, IL
    ZIP 60089
  • Facility Phone: (847) 499-5500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID J. MANN
  • NPI Number: 1053816835
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2238939
LAB Type Physician Office
Facility Name MEDOVATE DERMATOLOGY
Street 1450 BUSCH PWY - STE 145
City BUFFALO GROVE
State IL
ZIP 60089
Phone 8474995500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DAVID J. MANN

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This page was last updated on: 5/18/2026