14D0885998 CLIA NUMBER - PROGRESSIVE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D0885998
  • Facility Name: PROGRESSIVE MEDICAL CENTER
  • Facility Address: 1841 W ARMY TRAIL RD
    ADDISON, IL
    ZIP 60101
  • Facility Phone: 630 238-9235
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUSENCIO NUNEZ, MD
  • NPI Number: 1629128319
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0885998
LAB Type Physician Office
Facility Name PROGRESSIVE MEDICAL CENTER
Street 1841 W ARMY TRAIL RD
City ADDISON
State IL
ZIP 60101
Phone 630 238-9235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director AUSENCIO NUNEZ, MD

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