14D0421139 CLIA NUMBER - EDWARD MEDICAL GROUP - SITE 28

Laboratory Demographics

  • CLIA Code: 14D0421139
  • Facility Name: EDWARD MEDICAL GROUP - SITE 28
  • Facility Address: 16151 WEBER RD, SUITE 201
    CREST HILL, IL
    ZIP 60403
  • Facility Phone: 331 221-5376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYNTHIA YARSHEN
  • NPI Number: 1821229006
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0421139
LAB Type Physician Office
Facility Name EDWARD MEDICAL GROUP - SITE 28
Street 16151 WEBER RD, SUITE 201
City CREST HILL
State IL
ZIP 60403
Phone 331 221-5376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director CYNTHIA YARSHEN

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