14D2330128 CLIA NUMBER - ELM CLINICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 14D2330128
  • Facility Name: ELM CLINICAL SERVICES LLC
  • Facility Address: 110 E SCHILLER ST - STE 300
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 312 358-6666
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: NIKITHA REDDY GOWRARAM
  • NPI Number: 1902784200
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2330128
LAB Type Independent
Facility Name ELM CLINICAL SERVICES LLC
Street 110 E SCHILLER ST - STE 300
City ELMHURST
State IL
ZIP 60126
Phone 312 358-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Independent
Lab Director NIKITHA REDDY GOWRARAM

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