14D2307624 CLIA NUMBER - SYNERGY INTERGRATIVE HEADACHE CENTER, LTD

Laboratory Demographics

  • CLIA Code: 14D2307624
  • Facility Name: SYNERGY INTERGRATIVE HEADACHE CENTER, LTD
  • Facility Address: 191 WAUKEGAN RD - STE 300
    NORTHFIELD, IL
    ZIP 60093
  • Facility Phone: 773 948-7557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER FEOKTISTOV
  • NPI Number: 1568087583
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2307624
LAB Type Physician Office
Facility Name SYNERGY INTERGRATIVE HEADACHE CENTER, LTD
Street 191 WAUKEGAN RD - STE 300
City NORTHFIELD
State IL
ZIP 60093
Phone 773 948-7557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director ALEXANDER FEOKTISTOV

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