14D2266265 CLIA NUMBER - DES PLAINES MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 14D2266265
  • Facility Name: DES PLAINES MEDICAL CARE
  • Facility Address: 646 W ALGONQUIN RD
    DES PLAINES, IL
    ZIP 60016
  • Facility Phone: 847 716-7800
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDA BAUTISTA
  • NPI Number: 1831285311
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D2266265
LAB Type Practitioner Other
Facility Name DES PLAINES MEDICAL CARE
Street 646 W ALGONQUIN RD
City DES PLAINES
State IL
ZIP 60016
Phone 847 716-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Practitioner Other
Lab Director LINDA BAUTISTA

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