14D2122892 CLIA NUMBER - TRUE HEALTH MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D2122892

Facility Name: TRUE HEALTH MEDICAL CENTER

Facility Address:
603 E DIEHL RD, #135
NAPERVILLE, IL
ZIP 60563
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Facility Phone Number: 630 995-4242

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093971624

Taxonomy: 3336C0004X - Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

CLIA Record

Field Name	Field Value
CLIA Number	14D2122892
LAB Type	Physician Office
Facility Name	TRUE HEALTH MEDICAL CENTER
Street	603 E DIEHL RD, #135
City	NAPERVILLE
State	IL
ZIP	60563
Phone	630 995-4242
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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