14D2005504 CLIA NUMBER - DR ELBORNO CENTER

Laboratory Demographics

  • CLIA Code: 14D2005504
  • Facility Name: DR ELBORNO CENTER
  • Facility Address: 6747 KINGERY HWY
    WILLOWBROOK, IL
    ZIP 60527
  • Facility Phone: 630 568-3862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMED ELBORNO M D
  • NPI Number: 1619354081
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2005504
LAB Type Physician Office
Facility Name DR ELBORNO CENTER
Street 6747 KINGERY HWY
City WILLOWBROOK
State IL
ZIP 60527
Phone 630 568-3862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director AHMED ELBORNO M D

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