14D2046173 CLIA NUMBER - ADVENT HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D2046173
  • Facility Name: ADVENT HEALTH MEDICAL GROUP
  • Facility Address: 396 REMINGTON BLVD - STE 131
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 856-8620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAUDIA J. VERA
  • NPI Number: 1477790160
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2046173
LAB Type Physician Office
Facility Name ADVENT HEALTH MEDICAL GROUP
Street 396 REMINGTON BLVD - STE 131
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 856-8620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director CLAUDIA J. VERA

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