14D0699207 CLIA NUMBER - NAPERVILLE WOMENS HEALTHCARE PC

Laboratory Demographics

CLIA Number: 14D0699207

Facility Name: NAPERVILLE WOMENS HEALTHCARE PC

Facility Address:
720 S BROM CT 104
NAPERVILLE, IL
ZIP 60540
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Facility Phone Number: 630 717-9977

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063695237

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	14D0699207
LAB Type	Physician Office
Facility Name	NAPERVILLE WOMENS HEALTHCARE PC
Street	720 S BROM CT 104
City	NAPERVILLE
State	IL
ZIP	60540
Phone	630 717-9977
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024