14D0895930 CLIA NUMBER - DUPAGE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 14D0895930

Facility Name: DUPAGE COUNTY HEALTH DEPARTMENT

Facility Address:
111 NORTH COUNTY FARM ROAD
WHEATON, IL
ZIP 60187
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Facility Phone Number: 630 682-7979

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1093971442

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0895930
LAB Type	Public Health Laboratories
Facility Name	DUPAGE COUNTY HEALTH DEPARTMENT
Street	111 NORTH COUNTY FARM ROAD
City	WHEATON
State	IL
ZIP	60187
Phone	630 682-7979
CertificateType	3
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024