14D2109567 CLIA NUMBER - ADVOCATE CLINIC AURORA RANDALL RD

Laboratory Demographics

CLIA Number: 14D2109567

Facility Name: ADVOCATE CLINIC AURORA RANDALL RD

Facility Address:
1207 N RANDALL RD
AURORA, IL
ZIP 60506
Get Directions

Facility Phone Number: 773 295-3101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770093114

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D2109567
LAB Type	Physician Office
Facility Name	ADVOCATE CLINIC AURORA RANDALL RD
Street	1207 N RANDALL RD
City	AURORA
State	IL
ZIP	60506
Phone	773 295-3101
CertificateType	4
CertificateEffectiveDate	2/26/2024
CertificateExpirationDate	2/25/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024