14D1048932 CLIA NUMBER - EDWARD MEDICAL GROUP - SITE 8

Laboratory Demographics

  • CLIA Code: 14D1048932
  • Facility Name: EDWARD MEDICAL GROUP - SITE 8
  • Facility Address: 130 N WEBER RD, STE 100
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 331 221-5376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAYFUN OZGEN
  • NPI Number: 1356632657
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1048932
LAB Type Physician Office
Facility Name EDWARD MEDICAL GROUP - SITE 8
Street 130 N WEBER RD, STE 100
City BOLINGBROOK
State IL
ZIP 60440
Phone 331 221-5376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director TAYFUN OZGEN

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