14D0911713 CLIA NUMBER - NAPERBROOK MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D0911713
  • Facility Name: NAPERBROOK MEDICAL CENTER
  • Facility Address: 686 WEST BOUGHTON ROAD
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: (708) 378-1234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEHER B. MEDAVARAM MD
  • NPI Number: 1184801706
  • Taxonomy: 261QP2300X - Clinic/Center

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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 7083781234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2026
Certificate Expiration Date 2/12/2028
Facility Type Physician Office
Lab Director MEHER B. MEDAVARAM MD

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This page was last updated on: 5/18/2026