14D2253889 CLIA NUMBER - ADVANCED WELLNESS CLINICS LLC

Laboratory Demographics

  • CLIA Code: 14D2253889
  • Facility Name: ADVANCED WELLNESS CLINICS LLC
  • Facility Address: 1710 MILWAUKEE AVE
    GLENVIEW, IL
    ZIP 60025
  • Facility Phone: 708 865-0000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYNTHIA M. VALUKAS
  • NPI Number: 1235162397
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 14D2253889
LAB Type Physician Office
Facility Name ADVANCED WELLNESS CLINICS LLC
Street 1710 MILWAUKEE AVE
City GLENVIEW
State IL
ZIP 60025
Phone 708 865-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director CYNTHIA M. VALUKAS

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