14D2092333 CLIA NUMBER - CLINICA MEDICA DEL NINO JESUS

Laboratory Demographics

  • CLIA Code: 14D2092333
  • Facility Name: CLINICA MEDICA DEL NINO JESUS
  • Facility Address: 593 5TH AVE
    AURORA, IL
    ZIP 60505
  • Facility Phone: 630 723-6196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARDO C. GUZMAN M D
  • NPI Number: 1942696141
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 14D2092333
LAB Type Physician Office
Facility Name CLINICA MEDICA DEL NINO JESUS
Street 593 5TH AVE
City AURORA
State IL
ZIP 60505
Phone 630 723-6196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director GERARDO C. GUZMAN M D

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