14D0941386 CLIA NUMBER - RUSH OAK PARK HOSP PHYSCIANS GROUP NORTH RIVERSIDE

Laboratory Demographics

  • CLIA Code: 14D0941386
  • Facility Name: RUSH OAK PARK HOSP PHYSCIANS GROUP NORTH RIVERSIDE
  • Facility Address: 7222 W CERMAK ROAD, STE 700
    NORTH RIVERSIDE, IL
    ZIP 60546
  • Facility Phone: 708 660-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY O. RODRIGUEZ
  • NPI Number: 1003186255
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0941386
LAB Type Physician Office
Facility Name RUSH OAK PARK HOSP PHYSCIANS GROUP NORTH RIVERSIDE
Street 7222 W CERMAK ROAD, STE 700
City NORTH RIVERSIDE
State IL
ZIP 60546
Phone 708 660-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director GARY O. RODRIGUEZ

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