14D1070182 CLIA NUMBER - PERSONALIZED PHYSICIANS GROUP LTD

Laboratory Demographics

  • CLIA Code: 14D1070182
  • Facility Name: PERSONALIZED PHYSICIANS GROUP LTD
  • Facility Address: 7 BLANCHARD CIRCLE, STE 106
    WHEATON, IL
    ZIP 60189
  • Facility Phone: 630 580-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. BORN DO
  • NPI Number: 1780706481
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1070182
LAB Type Physician Office
Facility Name PERSONALIZED PHYSICIANS GROUP LTD
Street 7 BLANCHARD CIRCLE, STE 106
City WHEATON
State IL
ZIP 60189
Phone 630 580-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director JOHN R. BORN DO

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