14D2283414 CLIA NUMBER - QUINTESSENTIAL CARE

Laboratory Demographics

  • CLIA Code: 14D2283414
  • Facility Name: QUINTESSENTIAL CARE
  • Facility Address: 4905 OLD ORCHARD RD - STE 634
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 312 598-3520
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DAVID BUYER
  • NPI Number: 1962784124
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2283414
LAB Type Independent
Facility Name QUINTESSENTIAL CARE
Street 4905 OLD ORCHARD RD - STE 634
City SKOKIE
State IL
ZIP 60077
Phone 312 598-3520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Independent
Lab Director DAVID BUYER

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