14D1021245 CLIA NUMBER - MARIA E GONZALEZ MD

Laboratory Demographics

  • CLIA Code: 14D1021245
  • Facility Name: MARIA E GONZALEZ MD
  • Facility Address: 794 W DUNDEE RD
    WHEELING, IL
    ZIP 60090
  • Facility Phone: 847 229-0505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA E. GONZALEZ MD
  • NPI Number: 1912988783
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1021245
LAB Type Physician Office
Facility Name MARIA E GONZALEZ MD
Street 794 W DUNDEE RD
City WHEELING
State IL
ZIP 60090
Phone 847 229-0505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director MARIA E. GONZALEZ MD

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