14D2082729 CLIA NUMBER - JOSEPH J ECKBURG M D

Laboratory Demographics

  • CLIA Code: 14D2082729
  • Facility Name: JOSEPH J ECKBURG M D
  • Facility Address: 7117 CRIMSON RIDGE DR, STE 3
    ROCKFORD, IL
    ZIP 61107
  • Facility Phone: 815 316-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH J. ECKBURG
  • NPI Number: 1740890813
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 14D2082729
LAB Type Physician Office
Facility Name JOSEPH J ECKBURG M D
Street 7117 CRIMSON RIDGE DR, STE 3
City ROCKFORD
State IL
ZIP 61107
Phone 815 316-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director JOSEPH J. ECKBURG

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