14D2042925 CLIA NUMBER - SUBURBAN GASTROENTEROLOGY LTD

Laboratory Demographics

  • CLIA Code: 14D2042925
  • Facility Name: SUBURBAN GASTROENTEROLOGY LTD
  • Facility Address: 1243 RICKERT DR - HISTOLOGY
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 527-6450
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RICHARD R. ANDERSON
  • NPI Number: 1114954633
  • Taxonomy: 173000000X - Legal Medicine

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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
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director DR. RICHARD R. ANDERSON

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