14D2327235 CLIA NUMBER - SPECTRUM HEALTH PARTNERS, LLC

Laboratory Demographics

  • CLIA Code: 14D2327235
  • Facility Name: SPECTRUM HEALTH PARTNERS, LLC
  • Facility Address: 300 W BUTTERFIELD RD
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 504 669-1233
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JOHN N. MOUSTOUKAS
  • NPI Number: 1356137384
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2327235
LAB Type Mobile Laboratory
Facility Name SPECTRUM HEALTH PARTNERS, LLC
Street 300 W BUTTERFIELD RD
City ELMHURST
State IL
ZIP 60126
Phone 504 669-1233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Mobile Laboratory
Lab Director JOHN N. MOUSTOUKAS

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