14D1091371 CLIA NUMBER - GERIATRIC MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D1091371
  • Facility Name: GERIATRIC MEDICAL ASSOCIATES
  • Facility Address: 1051 ESSINGTON RD - STE 290
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 773-7827
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHAVESH GANDHI
  • NPI Number: 1811266315
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1091371
LAB Type Physician Office
Facility Name GERIATRIC MEDICAL ASSOCIATES
Street 1051 ESSINGTON RD - STE 290
City JOLIET
State IL
ZIP 60435
Phone 815 773-7827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director BHAVESH GANDHI

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