14D1038587 CLIA NUMBER - SURGICAL CENTER OF DUPAGE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D1038587
  • Facility Name: SURGICAL CENTER OF DUPAGE MEDICAL GROUP
  • Facility Address: 2725 S TECHNOLOGY DRIVE
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 545-7524
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FRANK GENTILE M D
  • NPI Number: 1710924899
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1038587
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL CENTER OF DUPAGE MEDICAL GROUP
Street 2725 S TECHNOLOGY DRIVE
City LOMBARD
State IL
ZIP 60148
Phone 630 545-7524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Ambulatory Surgery Center
Lab Director FRANK GENTILE M D

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