14D2280222 CLIA NUMBER - PALATINE LOCAL 597 FAMILY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 14D2280222
  • Facility Name: PALATINE LOCAL 597 FAMILY WELLNESS CENTER
  • Facility Address: 560 S VERMONT - STE 100
    PALATINE, IL
    ZIP 60067
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: TENY P. THOMAS
  • NPI Number: 1073561809
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2280222
LAB Type Other - ONSITE HEALTH CENTER
Facility Name PALATINE LOCAL 597 FAMILY WELLNESS CENTER
Street 560 S VERMONT - STE 100
City PALATINE
State IL
ZIP 60067
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Other - ONSITE HEALTH CENTER
Lab Director TENY P. THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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