14D2043463 CLIA NUMBER - DUPAGE MEDICAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 14D2043463
  • Facility Name: DUPAGE MEDICAL FAMILY MEDICINE
  • Facility Address: 640 WASHINGTON, STE 350 - LABORATORY
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 717-2646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. FITZGERALD MD
  • NPI Number: 1851888549
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2043463
LAB Type Physician Office
Facility Name DUPAGE MEDICAL FAMILY MEDICINE
Street 640 WASHINGTON, STE 350 - LABORATORY
City NAPERVILLE
State IL
ZIP 60540
Phone 630 717-2646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director MICHAEL E. FITZGERALD MD

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