14D2269556 CLIA NUMBER - ENVOGUE MED & WELLNESS, PLLC

Laboratory Demographics

  • CLIA Code: 14D2269556
  • Facility Name: ENVOGUE MED & WELLNESS, PLLC
  • Facility Address: 1701 E WOODFIELD RD - STE 215
    SCHAUMBURG, IL
    ZIP 60173
  • Facility Phone: (847) 916-0673
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA M. VALINO STOCK
  • NPI Number: 1881319911
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2269556
LAB Type Physician Office
Facility Name ENVOGUE MED & WELLNESS, PLLC
Street 1701 E WOODFIELD RD - STE 215
City SCHAUMBURG
State IL
ZIP 60173
Phone 8479160673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director SANDRA M. VALINO STOCK

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This page was last updated on: 5/18/2026