14D2041696 CLIA NUMBER - AAGAARD 5 LLC

Laboratory Demographics

  • CLIA Code: 14D2041696
  • Facility Name: AAGAARD 5 LLC
  • Facility Address: 2001 GARY AVE, STE 210
    WHEATON, IL
    ZIP 60187
  • Facility Phone: 630 614-4255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON P. AAGAARD
  • NPI Number: 1285900753
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2041696
LAB Type Physician Office
Facility Name AAGAARD 5 LLC
Street 2001 GARY AVE, STE 210
City WHEATON
State IL
ZIP 60187
Phone 630 614-4255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director JON P. AAGAARD

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