14D2315083 CLIA NUMBER - EVOLUTION HEALTHCARE, PLLC

Laboratory Demographics

  • CLIA Code: 14D2315083
  • Facility Name: EVOLUTION HEALTHCARE, PLLC
  • Facility Address: 1605 W WILSON ST - STE 103
    BATAVIA, IL
    ZIP 60510
  • Facility Phone: 630 549-5348
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MELISSA A. VERDECCHIA
  • NPI Number: 1063281178
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 14D2315083
LAB Type Practitioner Other
Facility Name EVOLUTION HEALTHCARE, PLLC
Street 1605 W WILSON ST - STE 103
City BATAVIA
State IL
ZIP 60510
Phone 630 549-5348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Practitioner Other
Lab Director MELISSA A. VERDECCHIA

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