14D2069558 CLIA NUMBER - RUSH-COPLEY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D2069558
  • Facility Name: RUSH-COPLEY MEDICAL GROUP
  • Facility Address: 2040 OGDEN AVE, STE 215
    AURORA, IL
    ZIP 60504
  • Facility Phone: 630 375-2844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VRINDA KUMAR MD
  • NPI Number: 1982974689
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2069558
LAB Type Physician Office
Facility Name RUSH-COPLEY MEDICAL GROUP
Street 2040 OGDEN AVE, STE 215
City AURORA
State IL
ZIP 60504
Phone 630 375-2844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Physician Office
Lab Director VRINDA KUMAR MD

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