14D0723057 CLIA NUMBER - ADVOCATE MEDICAL GROUP ELMHURST OB GYN

Laboratory Demographics

CLIA Number: 14D0723057

Facility Name: ADVOCATE MEDICAL GROUP ELMHURST OB GYN

Facility Address:
360 W BUTTERFIELD RD SUITE 250
ELMHURST, IL
ZIP 60126
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Facility Phone Number: 630 832-4210

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1720012412

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	14D0723057
LAB Type	Physician Office
Facility Name	ADVOCATE MEDICAL GROUP ELMHURST OB GYN
Street	360 W BUTTERFIELD RD SUITE 250
City	ELMHURST
State	IL
ZIP	60126
Phone	630 832-4210
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