14D1015909 CLIA NUMBER - RITA N OGANWU M D S C

Laboratory Demographics

  • CLIA Code: 14D1015909
  • Facility Name: RITA N OGANWU M D S C
  • Facility Address: 20303 CRAWFORD AVE - STE 110
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Facility Phone: 708 922-9170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITA N. OGANWU M D
  • NPI Number: 1962452193
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1015909
LAB Type Physician Office
Facility Name RITA N OGANWU M D S C
Street 20303 CRAWFORD AVE - STE 110
City OLYMPIA FIELDS
State IL
ZIP 60461
Phone 708 922-9170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director RITA N. OGANWU M D

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