14D0670785 CLIA NUMBER - AMG PARK RIDGE

Laboratory Demographics

  • CLIA Code: 14D0670785
  • Facility Name: AMG PARK RIDGE
  • Facility Address: 205 S NORTHWEST HWY
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 809-8222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN EVANS
  • NPI Number: 1144588617
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0670785
LAB Type Physician Office
Facility Name AMG PARK RIDGE
Street 205 S NORTHWEST HWY
City PARK RIDGE
State IL
ZIP 60068
Phone 847 809-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director JOHN EVANS

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