14D0415679 CLIA NUMBER - ELMHURST MEDICAL PHYSICIANS SC

Laboratory Demographics

  • CLIA Code: 14D0415679
  • Facility Name: ELMHURST MEDICAL PHYSICIANS SC
  • Facility Address: 1200 S YORK RD, STE 3250
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 630 758-8885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES C. GIGER
  • NPI Number: 1891727491
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0415679
LAB Type Physician Office
Facility Name ELMHURST MEDICAL PHYSICIANS SC
Street 1200 S YORK RD, STE 3250
City ELMHURST
State IL
ZIP 60126
Phone 630 758-8885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. CHARLES C. GIGER

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