14D2245239 CLIA NUMBER - FOOTPRINTS RECOVERY CHICAGO LLC

Laboratory Demographics

  • CLIA Code: 14D2245239
  • Facility Name: FOOTPRINTS RECOVERY CHICAGO LLC
  • Facility Address: 419 W RIVER RD
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 224 347-4025
  • Facility Type: Other - SUBSTANCE ABUSE TRTMT CTR
  • Facility Type: Waiver
  • Lab Director: WILLIAM EDWARD GOLDMAN
  • NPI Number: 1104582154
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2245239
LAB Type Other - SUBSTANCE ABUSE TRTMT CTR
Facility Name FOOTPRINTS RECOVERY CHICAGO LLC
Street 419 W RIVER RD
City ELGIN
State IL
ZIP 60123
Phone 224 347-4025
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 Other - SUBSTANCE ABUSE TRTMT CTR
Lab Director WILLIAM EDWARD GOLDMAN

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