14D2050060 CLIA NUMBER - RMG DERMATOLOGY NORTHWESTERN REGIONAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D2050060
  • Facility Name: RMG DERMATOLOGY NORTHWESTERN REGIONAL MEDICAL GROUP
  • Facility Address: 885 ROOSEVELT RD - STE 301
    GLEN ELLYN, IL
    ZIP 60137
  • Facility Phone: 630 315-6500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHELLE A. PIPITONE
  • NPI Number: 1477897833
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2050060
LAB Type Physician Office
Facility Name RMG DERMATOLOGY NORTHWESTERN REGIONAL MEDICAL GROUP
Street 885 ROOSEVELT RD - STE 301
City GLEN ELLYN
State IL
ZIP 60137
Phone 630 315-6500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director MICHELLE A. PIPITONE

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