14D2063276 CLIA NUMBER - NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D2063276
  • Facility Name: NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP
  • Facility Address: 7 BLANCHARD CIRCLE, #201
    WHEATON, IL
    ZIP 60189
  • Facility Phone: 630 681-5153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIFFANY KARAS
  • NPI Number: 1316030943
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2063276
LAB Type Physician Office
Facility Name NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP
Street 7 BLANCHARD CIRCLE, #201
City WHEATON
State IL
ZIP 60189
Phone 630 681-5153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director TIFFANY KARAS

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