14D0714895 CLIA NUMBER - A M G - DOWNERS GROVE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 14D0714895
  • Facility Name: A M G - DOWNERS GROVE PRIMARY CARE
  • Facility Address: 3743 HIGHLAND AVE - STE 1001
    DOWNERS GROVE, IL
    ZIP 60515
  • Facility Phone: 630 963-9667
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA K. MARTIN
  • NPI Number: 1912192725
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0714895
LAB Type Physician Office
Facility Name A M G - DOWNERS GROVE PRIMARY CARE
Street 3743 HIGHLAND AVE - STE 1001
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 963-9667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director MONICA K. MARTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025