14D0937844 CLIA NUMBER - GASTROENTEROLOGISTS, LTD

Laboratory Demographics

  • CLIA Code: 14D0937844
  • Facility Name: GASTROENTEROLOGISTS, LTD
  • Facility Address: 1105 W PARK AVE, STE 1
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 680-5880
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JIE SONG
  • NPI Number: 1891993606
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0937844
LAB Type Physician Office
Facility Name GASTROENTEROLOGISTS, LTD
Street 1105 W PARK AVE, STE 1
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 680-5880
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/4/2022
Certificate Expiration Date 3/31/2025
Facility Type Physician Office
Lab Director JIE SONG

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This page was last updated on: 3/20/2025