14D2328712 CLIA NUMBER - REVIVE TREATMENT CENTER - HOFFMAN ESTATES LLC

Laboratory Demographics

  • CLIA Code: 14D2328712
  • Facility Name: REVIVE TREATMENT CENTER - HOFFMAN ESTATES LLC
  • Facility Address: 2353 HASSELL RD - STE 115
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Facility Phone: 630 635-2255
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: AMANDA BLUCHER
  • NPI Number: 1346122066
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2328712
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name REVIVE TREATMENT CENTER - HOFFMAN ESTATES LLC
Street 2353 HASSELL RD - STE 115
City HOFFMAN ESTATES
State IL
ZIP 60169
Phone 630 635-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director AMANDA BLUCHER

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