14D2107476 CLIA NUMBER - DUPAGE MEDICAL GROUP - UROLOGY

Laboratory Demographics

  • CLIA Code: 14D2107476
  • Facility Name: DUPAGE MEDICAL GROUP - UROLOGY
  • Facility Address: 16519 SOUTH ROUTE 59, STE D
    PLAINFIELD, IL
    ZIP 60586
  • Facility Phone: 630 790-1221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL B. LYON MD
  • NPI Number: 1023391844
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2107476
LAB Type Physician Office
Facility Name DUPAGE MEDICAL GROUP - UROLOGY
Street 16519 SOUTH ROUTE 59, STE D
City PLAINFIELD
State IL
ZIP 60586
Phone 630 790-1221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Physician Office
Lab Director PAUL B. LYON MD

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