14D2261686 CLIA NUMBER - ADVANCED UROGYNECOLOGIC CARE

Laboratory Demographics

  • CLIA Code: 14D2261686
  • Facility Name: ADVANCED UROGYNECOLOGIC CARE
  • Facility Address: 4709 GOLF RD - STE 1275
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 224 251-7387
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANET E. TOMEZSKO
  • NPI Number: 1316686868
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2261686
LAB Type Physician Office
Facility Name ADVANCED UROGYNECOLOGIC CARE
Street 4709 GOLF RD - STE 1275
City SKOKIE
State IL
ZIP 60076
Phone 224 251-7387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director JANET E. TOMEZSKO

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