14D1078342 CLIA NUMBER - RUSH COPLEY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D1078342
  • Facility Name: RUSH COPLEY MEDICAL GROUP
  • Facility Address: 4789 STATE ROUTE 71
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: (630) 375-3479
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BERNARDITA DRUHAN
  • NPI Number: 1508055351
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D1078342
LAB Type Physician Office
Facility Name RUSH COPLEY MEDICAL GROUP
Street 4789 STATE ROUTE 71
City OSWEGO
State IL
ZIP 60543
Phone 6303753479
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/8/2026
Certificate Expiration Date 1/7/2028
Facility Type Physician Office
Lab Director BERNARDITA DRUHAN

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This page was last updated on: 5/18/2026