14D0688732 CLIA NUMBER - DULY HEALTH & CARE B L IM

Laboratory Demographics

  • CLIA Code: 14D0688732
  • Facility Name: DULY HEALTH & CARE B L IM
  • Facility Address: 220 SPRINGFIELD DR, SUITE 210
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 893-2210
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: ROBERT J. HURST M D
  • NPI Number: 1437394954
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0688732
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DULY HEALTH & CARE B L IM
Street 220 SPRINGFIELD DR, SUITE 210
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 893-2210
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ROBERT J. HURST M D

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