14D2274280 CLIA NUMBER - CI PSYCH PLLC

Laboratory Demographics

  • CLIA Code: 14D2274280
  • Facility Name: CI PSYCH PLLC
  • Facility Address: 1990 LARKIN AVE C3
    ELGIN, IL
    ZIP 60123
  • Facility Phone: (630) 528-0736
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHERYL ISCHAR
  • NPI Number: 1295462323
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2274280
LAB Type Practitioner Other
Facility Name CI PSYCH PLLC
Street 1990 LARKIN AVE C3
City ELGIN
State IL
ZIP 60123
Phone 6305280736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Practitioner Other
Lab Director CHERYL ISCHAR

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This page was last updated on: 5/15/2026