14D0911713 CLIA NUMBER - NAPERBROOK MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D0911713

Facility Name: NAPERBROOK MEDICAL CENTER

Facility Address:
686 WEST BOUGHTON ROAD
BOLINGBROOK, IL
ZIP 60440
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Facility Phone Number: 708 378-1234

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184801706

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0911713
LAB Type	Physician Office
Facility Name	NAPERBROOK MEDICAL CENTER
Street	686 WEST BOUGHTON ROAD
City	BOLINGBROOK
State	IL
ZIP	60440
Phone	708 378-1234
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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