14D0869050 CLIA NUMBER - A2CL -ADVOCATE MEDICAL GROUP - ST CHARLES

Laboratory Demographics

  • CLIA Code: 14D0869050
  • Facility Name: A2CL -ADVOCATE MEDICAL GROUP - ST CHARLES
  • Facility Address: 3310 W MAIN STREET, STE 200
    SAINT CHARLES, IL
    ZIP 60175
  • Facility Phone: 630 264-8510
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MOON WOO NAM
  • NPI Number: 1902152846
  • Taxonomy: 261QP2400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0869050
LAB Type Independent
Facility Name A2CL -ADVOCATE MEDICAL GROUP - ST CHARLES
Street 3310 W MAIN STREET, STE 200
City SAINT CHARLES
State IL
ZIP 60175
Phone 630 264-8510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Independent
Lab Director MOON WOO NAM

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