14D0430238 CLIA NUMBER - ROCKFORD UROLOGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D0430238
  • Facility Name: ROCKFORD UROLOGICAL ASSOCIATES
  • Facility Address: 351 EXECUTIVE PKWY ATTN: TERRI BURNELL
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 398-4057
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PAMELA C. PAPAS M D
  • NPI Number: 1194786558
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 14D0430238
LAB Type Physician Office
Facility Name ROCKFORD UROLOGICAL ASSOCIATES
Street 351 EXECUTIVE PKWY ATTN: TERRI BURNELL
City ROCKFORD
State IL
ZIP 61107
Phone 815 398-4057
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director PAMELA C. PAPAS M D

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