14D2326744 CLIA NUMBER - LIVINGWELL CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 14D2326744
  • Facility Name: LIVINGWELL CLINIC PLLC
  • Facility Address: 473 W ARMY TRAIL RD - STE 105
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 242-2455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANALI PATEL
  • NPI Number: 1861281925
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2326744
LAB Type Physician Office
Facility Name LIVINGWELL CLINIC PLLC
Street 473 W ARMY TRAIL RD - STE 105
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 242-2455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director MANALI PATEL

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