14D1045386 CLIA NUMBER - ADVANCED INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 14D1045386
  • Facility Name: ADVANCED INTEGRATIVE MEDICINE
  • Facility Address: 12624 S ROUTE 59
    PLAINFIELD, IL
    ZIP 60585
  • Facility Phone: 815 577-6446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KALPESH M. PATEL
  • NPI Number: 1497937536
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1045386
LAB Type Physician Office
Facility Name ADVANCED INTEGRATIVE MEDICINE
Street 12624 S ROUTE 59
City PLAINFIELD
State IL
ZIP 60585
Phone 815 577-6446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director KALPESH M. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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