14D2042925 CLIA NUMBER - SUBURBAN GASTROENTEROLOGY LTD

Laboratory Demographics

CLIA Number: 14D2042925

Facility Name: SUBURBAN GASTROENTEROLOGY LTD

Facility Address:
1243 RICKERT DR - HISTOLOGY
NAPERVILLE, IL
ZIP 60540
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Facility Phone Number: 630 527-6450

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1114954633

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name Field Value
CLIA Number 14D2042925
LAB Type Physician Office
Facility Name SUBURBAN GASTROENTEROLOGY LTD
Street 1243 RICKERT DR - HISTOLOGY
City NAPERVILLE
State IL
ZIP 60540
Phone 630 527-6450
CertificateType 1
CertificateEffectiveDate 8/14/2023
CertificateExpirationDate 8/13/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024