14D1009258 CLIA NUMBER - DUPAGE MEDICAL GROUP WHEATON CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 14D1009258
LAB Type Physician Office
Facility Name DUPAGE MEDICAL GROUP WHEATON CLINIC
Street 150 E WILLOW
City WHEATON
State IL
ZIP 60187
Phone 630 545-7524
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director ROBERT KEMP MD

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