14D1086333 CLIA NUMBER - ADVANCED CENTER FOR INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 14D1086333
  • Facility Name: ADVANCED CENTER FOR INTERNAL MEDICINE
  • Facility Address: 2172 BLACKBERRY DR STE 101
    GENEVA, IL
    ZIP 60134
  • Facility Phone: 630 262-0888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRALI PATEL
  • NPI Number: 1386804763
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1086333
LAB Type Physician Office
Facility Name ADVANCED CENTER FOR INTERNAL MEDICINE
Street 2172 BLACKBERRY DR STE 101
City GENEVA
State IL
ZIP 60134
Phone 630 262-0888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director NIRALI PATEL

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This page was last updated on: 3/20/2025