14D2308922 CLIA NUMBER - NORTHSHORE UNIVERSITY HEALTH SYSTEMS - ENDO

Laboratory Demographics

  • CLIA Code: 14D2308922
  • Facility Name: NORTHSHORE UNIVERSITY HEALTH SYSTEMS - ENDO
  • Facility Address: 9977 WOODS DR - STE 300
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 847 663-8540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARMAN E. BLOMEIER
  • NPI Number: 1841258118
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2308922
LAB Type Physician Office
Facility Name NORTHSHORE UNIVERSITY HEALTH SYSTEMS - ENDO
Street 9977 WOODS DR - STE 300
City SKOKIE
State IL
ZIP 60077
Phone 847 663-8540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director HARMAN E. BLOMEIER

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