14D2075746 CLIA NUMBER - ADVANCED GYNECOLOGY S C

Laboratory Demographics

  • CLIA Code: 14D2075746
  • Facility Name: ADVANCED GYNECOLOGY S C
  • Facility Address: 250 W KENSINGTON RD - STE 1B
    MOUNT PROSPECT, IL
    ZIP 60056
  • Facility Phone: 847 568-1488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOGOL JAHEDI
  • NPI Number: 1679844039
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D2075746
LAB Type Physician Office
Facility Name ADVANCED GYNECOLOGY S C
Street 250 W KENSINGTON RD - STE 1B
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 568-1488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director SOGOL JAHEDI

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