14D2299458 CLIA NUMBER - THRIVE HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 14D2299458
  • Facility Name: THRIVE HEALTHCARE, LLC
  • Facility Address: 5435 BULL VALLEY RD - STE 318
    BULL VALLEY, IL
    ZIP 60050
  • Facility Phone: 815 526-0326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHELSEY LESNIAK
  • NPI Number: 1457068181
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 14D2299458
LAB Type Physician Office
Facility Name THRIVE HEALTHCARE, LLC
Street 5435 BULL VALLEY RD - STE 318
City BULL VALLEY
State IL
ZIP 60050
Phone 815 526-0326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director CHELSEY LESNIAK

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