14D2258203 CLIA NUMBER - SKYWAY BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 14D2258203
  • Facility Name: SKYWAY BEHAVIORAL HEALTH
  • Facility Address: 4709 GOLF RD - STE 7
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 224 970-1022
  • Facility Type: Other - OUTPATIENT BEH HEALTH IOP
  • Facility Type: Waiver
  • Lab Director: SOPHIANNE D. SCHWAB
  • NPI Number: 1679146989
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2258203
LAB Type Other - OUTPATIENT BEH HEALTH IOP
Facility Name SKYWAY BEHAVIORAL HEALTH
Street 4709 GOLF RD - STE 7
City SKOKIE
State IL
ZIP 60076
Phone 224 970-1022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Other - OUTPATIENT BEH HEALTH IOP
Lab Director SOPHIANNE D. SCHWAB

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