14D2307491 CLIA NUMBER - EVOKE WELLNESS AT CHICAGO, LLC

Laboratory Demographics

  • CLIA Code: 14D2307491
  • Facility Name: EVOKE WELLNESS AT CHICAGO, LLC
  • Facility Address: 1401 E OAKTON ST - STE 11
    DES PLAINES, IL
    ZIP 60018
  • Facility Phone: 773 828-0380
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: CASSANDRA M. JEWELL
  • NPI Number: 1518743152
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2307491
LAB Type Ancillary Testing Site in Health Care Center
Facility Name EVOKE WELLNESS AT CHICAGO, LLC
Street 1401 E OAKTON ST - STE 11
City DES PLAINES
State IL
ZIP 60018
Phone 773 828-0380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director CASSANDRA M. JEWELL

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