14D0421752 CLIA NUMBER - PREMIER INTERNISTS OF NAPERVILLE

Laboratory Demographics

  • CLIA Code: 14D0421752
  • Facility Name: PREMIER INTERNISTS OF NAPERVILLE
  • Facility Address: 620 N RIVER RD, #102
    NAPERVILLE, IL
    ZIP 60563
  • Facility Phone: 630 355-4755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CICILY JONES MD
  • NPI Number: 1295953842
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0421752
LAB Type Physician Office
Facility Name PREMIER INTERNISTS OF NAPERVILLE
Street 620 N RIVER RD, #102
City NAPERVILLE
State IL
ZIP 60563
Phone 630 355-4755
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 CICILY JONES MD

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