14D2245121 CLIA NUMBER - GEORGE N ATIA MD SC

Laboratory Demographics

  • CLIA Code: 14D2245121
  • Facility Name: GEORGE N ATIA MD SC
  • Facility Address: 406 RIDGE RD
    WILMETTE, IL
    ZIP 60091
  • Facility Phone: 312 335-0180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE N. ATIA
  • NPI Number: 1538169636
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2245121
LAB Type Physician Office
Facility Name GEORGE N ATIA MD SC
Street 406 RIDGE RD
City WILMETTE
State IL
ZIP 60091
Phone 312 335-0180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director GEORGE N. ATIA

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