14D0908759 CLIA NUMBER - A2CL - ADVOCATE MEDICAL GROUP - NAPERVILLE

Laboratory Demographics

CLIA Number: 14D0908759

Facility Name: A2CL - ADVOCATE MEDICAL GROUP - NAPERVILLE

Facility Address:
1508 AURORA AVE
NAPERVILLE, IL
ZIP 60540
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Facility Phone Number: 630 264-8510

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1922752138

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0908759
LAB Type	Independent
Facility Name	A2CL - ADVOCATE MEDICAL GROUP - NAPERVILLE
Street	1508 AURORA AVE
City	NAPERVILLE
State	IL
ZIP	60540
Phone	630 264-8510
CertificateType	4
CertificateEffectiveDate	10/11/2022
CertificateExpirationDate	10/10/2024
FacilityType	Waiver

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