14D0968731 CLIA NUMBER - JORGE E BRUNELLE MD MPH

Laboratory Demographics

  • CLIA Code: 14D0968731
  • Facility Name: JORGE E BRUNELLE MD MPH
  • Facility Address: 120 S LINCOLN AVE
    AURORA, IL
    ZIP 60505
  • Facility Phone: 630 801-4150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JORGE E. BRUNELLE
  • NPI Number: 1710067962
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0968731
LAB Type Physician Office
Facility Name JORGE E BRUNELLE MD MPH
Street 120 S LINCOLN AVE
City AURORA
State IL
ZIP 60505
Phone 630 801-4150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director DR. JORGE E. BRUNELLE

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