14D2301033 CLIA NUMBER - WOUND WELLNESS, PLLC

Laboratory Demographics

  • CLIA Code: 14D2301033
  • Facility Name: WOUND WELLNESS, PLLC
  • Facility Address: 50 S MILWAUKEE AVE - STE 103
    LAKE VILLA, IL
    ZIP 60046
  • Facility Phone: 224 215-6242
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDSEY N. TERNING
  • NPI Number: 1437915337
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 14D2301033
LAB Type Practitioner Other
Facility Name WOUND WELLNESS, PLLC
Street 50 S MILWAUKEE AVE - STE 103
City LAKE VILLA
State IL
ZIP 60046
Phone 224 215-6242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Practitioner Other
Lab Director LINDSEY N. TERNING

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