14D2058825 CLIA NUMBER - FIRST CHOICE OCCUPATIONAL / WALK IN CLINIC L L C

Laboratory Demographics

  • CLIA Code: 14D2058825
  • Facility Name: FIRST CHOICE OCCUPATIONAL / WALK IN CLINIC L L C
  • Facility Address: 1971 GOWDEY RD, STE 105
    NAPERVILLE, IL
    ZIP 60563
  • Facility Phone: 630 416-7293
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVE P. MANTE
  • NPI Number: 1245502616
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2058825
LAB Type Physician Office
Facility Name FIRST CHOICE OCCUPATIONAL / WALK IN CLINIC L L C
Street 1971 GOWDEY RD, STE 105
City NAPERVILLE
State IL
ZIP 60563
Phone 630 416-7293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DAVE P. MANTE

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