14D0890861 CLIA NUMBER - OB-GYNE ASSOCIATES OF LIBERTYVILLE

Laboratory Demographics

  • CLIA Code: 14D0890861
  • Facility Name: OB-GYNE ASSOCIATES OF LIBERTYVILLE
  • Facility Address: 801 S MILWAUKEE-SUITE 100
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 680-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADRIANA SPELLMAN MD
  • NPI Number: 1457563272
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0890861
LAB Type Physician Office
Facility Name OB-GYNE ASSOCIATES OF LIBERTYVILLE
Street 801 S MILWAUKEE-SUITE 100
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 680-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director ADRIANA SPELLMAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025