14D2314914 CLIA NUMBER - EPIC MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 14D2314914
  • Facility Name: EPIC MEDICAL, PLLC
  • Facility Address: 2298 COUNTY LINE RD - STE A
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: (847) 805-3630
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID KANG
  • NPI Number: 1730999095
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2314914
LAB Type Practitioner Other
Facility Name EPIC MEDICAL, PLLC
Street 2298 COUNTY LINE RD - STE A
City ALGONQUIN
State IL
ZIP 60102
Phone 8478053630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Practitioner Other
Lab Director DAVID KANG

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This page was last updated on: 5/18/2026