14D0893846 CLIA NUMBER - BOLINGBROOK IMMEDIATE CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D0893846
  • Facility Name: BOLINGBROOK IMMEDIATE CARE CENTER
  • Facility Address: 130 N WEBER ROAD
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 527-5150
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: MIGUEL FAROLAN
  • NPI Number: 1114310893
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D0893846
LAB Type Community Clinic
Facility Name BOLINGBROOK IMMEDIATE CARE CENTER
Street 130 N WEBER ROAD
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 527-5150
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/26/2023
Certificate Expiration Date 10/31/2025
Facility Type Community Clinic
Lab Director MIGUEL FAROLAN

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