14D2094432 CLIA NUMBER - DUPAGE MEDICAL GROUP - RICKERT #101

Laboratory Demographics

  • CLIA Code: 14D2094432
  • Facility Name: DUPAGE MEDICAL GROUP - RICKERT #101
  • Facility Address: 1259 RICKERT DR, STE 101
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: (630) 967-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN FETZER DO
  • NPI Number: 1578829602
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2094432
LAB Type Physician Office
Facility Name DUPAGE MEDICAL GROUP - RICKERT #101
Street 1259 RICKERT DR, STE 101
City NAPERVILLE
State IL
ZIP 60540
Phone 6309672225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director MARTIN FETZER DO

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This page was last updated on: 6/29/2026