14D2239041 CLIA NUMBER - DERICK DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 14D2239041
  • Facility Name: DERICK DERMATOLOGY, LLC
  • Facility Address: 956 SURREY LANE
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 381-8899
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PEDRAM YAZDAN
  • NPI Number: 1174097836
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2239041
LAB Type Physician Office
Facility Name DERICK DERMATOLOGY, LLC
Street 956 SURREY LANE
City NORTHBROOK
State IL
ZIP 60062
Phone 847 381-8899
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 9/15/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director PEDRAM YAZDAN

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