14D1029242 CLIA NUMBER - AUNT MARTHA'S HEALTH AND OUTREACH CENTER

Laboratory Demographics

CLIA Number: 14D1029242

Facility Name: AUNT MARTHA'S HEALTH AND OUTREACH CENTER

Facility Address:
680 S RIVER ST
AURORA, IL
ZIP 60506
Get Directions

Facility Phone Number: 708 747-7100

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1780932061

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1029242
LAB Type	Federally Qualified Health Center
Facility Name	AUNT MARTHA'S HEALTH AND OUTREACH CENTER
Street	680 S RIVER ST
City	AURORA
State	IL
ZIP	60506
Phone	708 747-7100
CertificateType	3
CertificateEffectiveDate	8/12/2022
CertificateExpirationDate	8/11/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024