14D0411648 CLIA NUMBER - NORTHWEST GASTROENTEROLOGISTS SC

Laboratory Demographics

CLIA Number: 14D0411648

Facility Name: NORTHWEST GASTROENTEROLOGISTS SC

Facility Address:
1415 S ARLINGTON HEIGHTS ROAD
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: 847 439-1005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801886221

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	14D0411648
LAB Type	Physician Office
Facility Name	NORTHWEST GASTROENTEROLOGISTS SC
Street	1415 S ARLINGTON HEIGHTS ROAD
City	ARLINGTON HEIGHTS
State	IL
ZIP	60005
Phone	847 439-1005
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024