14D0934875 CLIA NUMBER - HEALTHCARE FOR WOMEN - A H M G

Laboratory Demographics

  • CLIA Code: 14D0934875
  • Facility Name: HEALTHCARE FOR WOMEN - A H M G
  • Facility Address: 412 W 63RD ST - STE 103
    DOWNERS GROVE, IL
    ZIP 60516
  • Facility Phone: 630 969-7706
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RADHA BURTCH M D
  • NPI Number: 1720338908
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0934875
LAB Type Physician Office
Facility Name HEALTHCARE FOR WOMEN - A H M G
Street 412 W 63RD ST - STE 103
City DOWNERS GROVE
State IL
ZIP 60516
Phone 630 969-7706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director RADHA BURTCH M D

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