14D2030246 CLIA NUMBER - EDWARD MEDICAL GROUP - SITE 29

Laboratory Demographics

  • CLIA Code: 14D2030246
  • Facility Name: EDWARD MEDICAL GROUP - SITE 29
  • Facility Address: 1804 N NAPER BLVD, STE 103
    NAPERVILLE, IL
    ZIP 60563
  • Facility Phone: (331) 221-5376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROHINI BHAT
  • NPI Number: 1831149889
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2030246
LAB Type Physician Office
Facility Name EDWARD MEDICAL GROUP - SITE 29
Street 1804 N NAPER BLVD, STE 103
City NAPERVILLE
State IL
ZIP 60563
Phone 3312215376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director ROHINI BHAT

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