14D2261957 CLIA NUMBER - WARNER AESTHETIC & RECONSTRUCTIVE INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D2261957
  • Facility Name: WARNER AESTHETIC & RECONSTRUCTIVE INSTITUTE
  • Facility Address: 436 W FRONTAGE RD
    NORTHFIELD, IL
    ZIP 60093
  • Facility Phone: 847 558-8888
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEREMY P. WARNER
  • NPI Number: 1801345905
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2261957
LAB Type Ambulatory Surgery Center
Facility Name WARNER AESTHETIC & RECONSTRUCTIVE INSTITUTE
Street 436 W FRONTAGE RD
City NORTHFIELD
State IL
ZIP 60093
Phone 847 558-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Ambulatory Surgery Center
Lab Director JEREMY P. WARNER

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