14D1081915 CLIA NUMBER - EDWARD MEDICAL GROUP SITE 27

Laboratory Demographics

  • CLIA Code: 14D1081915
  • Facility Name: EDWARD MEDICAL GROUP SITE 27
  • Facility Address: 6701 U S HWY 34
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: 331 221-5376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARON CHRISTY
  • NPI Number: 1255501029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1081915
LAB Type Physician Office
Facility Name EDWARD MEDICAL GROUP SITE 27
Street 6701 U S HWY 34
City OSWEGO
State IL
ZIP 60543
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 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director SHARON CHRISTY

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